放大内窥镜诊断结肠直肠病变的解读。

IF 3.6 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Digestion Pub Date : 2025-01-01 Epub Date: 2025-02-04 DOI:10.1159/000543996
Naohisa Yoshida, Ken Inoue, Elsayed Ghoneem, Yoshikazu Inagaki, Reo Kobayashi, Naoto Iwai, Osamu Dohi, Ryohei Hirose, Yoshito Itoh
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引用次数: 0

摘要

准确的内镜诊断对于确定结肠直肠病变的适当治疗策略至关重要,治疗策略可能包括冷圈套息肉切除术(CSP)、内镜粘膜切除术(EMR)或内镜粘膜下剥离(ESD)。虽然白光成像(WLI)是内镜诊断的基本和初始方法,但当WLI结果不确定时,需要额外的技术,如窄带成像(NBI)、蓝光/光成像(BLI)和使用凹坑模式的放大观察。这些先进的诊断方法能够精确识别病变,如腺瘤、T1癌和无根锯齿状病变(SSL)。此外,内窥镜系统的最新进展增强了图像清晰度和细节,从而提高了诊断的准确性。本文将深入讨论利用日本NBI专家小组(JNET)的NBI/BLI分类和色内镜的凹坑模式分类,放大内窥镜如何帮助准确诊断结直肠病变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Interpretation of Magnifying Endoscopy for the Diagnosis of Colorectal Lesions.

Background: Accurate endoscopic diagnosis is crucial for determining the appropriate treatment strategy for colorectal lesions, which may include cold snare polypectomy, endoscopic mucosal resection, or endoscopic submucosal dissection.

Summary: While white light imaging (WLI) serves as the basic and initial method for endoscopic diagnosis, additional techniques such as narrow band imaging (NBI), blue laser/light imaging (BLI), and magnified observation of pit patterns are necessary when WLI results are inconclusive. These advanced diagnostic methods enable precise differentiation of lesions such as adenoma, T1 cancer, and sessile serrated lesion. Furthermore, recent advancements in endoscopic systems have enhanced image clarity and detail, thereby improving diagnostic accuracy.

Key messages: This review provides an in-depth discussion on how magnified endoscopy, utilizing the Japan NBI Expert Team (JNET) classification with NBI/BLI and pit pattern classification with chromoendoscopy, aids in the accurate diagnosis of colorectal lesions.

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来源期刊
Digestion
Digestion 医学-胃肠肝病学
CiteScore
7.90
自引率
0.00%
发文量
39
审稿时长
6-12 weeks
期刊介绍: ''Digestion'' concentrates on clinical research reports: in addition to editorials and reviews, the journal features sections on Stomach/Esophagus, Bowel, Neuro-Gastroenterology, Liver/Bile, Pancreas, Metabolism/Nutrition and Gastrointestinal Oncology. Papers cover physiology in humans, metabolic studies and clinical work on the etiology, diagnosis, and therapy of human diseases. It is thus especially cut out for gastroenterologists employed in hospitals and outpatient units. Moreover, the journal''s coverage of studies on the metabolism and effects of therapeutic drugs carries considerable value for clinicians and investigators beyond the immediate field of gastroenterology.
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