NBI和NBI联合放大结肠镜。

Diagnostic and Therapeutic Endoscopy Pub Date : 2012-01-01 Epub Date: 2012-12-09 DOI:10.1155/2012/173269
Mineo Iwatate, Taro Ikumoto, Santa Hattori, Wataru Sano, Yasushi Sano, Takahiro Fujimori
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引用次数: 43

摘要

虽然放大色内窥镜是一种可靠的诊断工具,但窄带成像(NBI)自1999年以来在日本发展起来,现在已经取代了色内窥镜的主要作用,因为它方便和简单。在本文中,我们主要描述了放大色内镜和放大结肠镜与NBI在早期结直肠癌的检测、组织学预测、深度估计方面的疗效,以及未来的前景。虽然一些荟萃分析得出结论,在结肠镜筛查中,NBI并不优于白光成像检测腺瘤性息肉,但NBI与放大结肠镜检查在组织学预测或估计浸润深度方面是有用的。为了使这些诊断策略标准化,我们将重点介绍NBI国际结直肠内镜(NICE)分类,该分类建议由内镜医师使用或不使用放大内窥镜。然而,需要更多的前瞻性研究来证明这种分类可以令人满意的可用性,可行性和可靠性。在未来,NBI可能有助于评估结肠镜检查时的实时组织学预测,这对于通过切除和丢弃小型腺瘤性息肉(切除和丢弃策略)降低息肉切除术的风险和节省组织学评估成本具有实质性的好处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

NBI and NBI Combined with Magnifying Colonoscopy.

NBI and NBI Combined with Magnifying Colonoscopy.

NBI and NBI Combined with Magnifying Colonoscopy.

NBI and NBI Combined with Magnifying Colonoscopy.

Although magnifying chromoendoscopy had been a reliable diagnostic tool, narrow-band imaging (NBI) has been developed in Japan since 1999 and has now replaced the major role of chromoendoscopy because of its convenience and simplicity. In this paper, we principally describe the efficacy of magnifying chromoendoscopy and magnifying colonoscopy with NBI for detection, histological prediction, estimation of the depth of early colorectal cancer, and future prospects. Although some meta-analyses have concluded that NBI is not superior to white light imaging for detection of adenomatous polyps in screening colonoscopy, NBI with magnification colonoscopy is useful for histological prediction, or for estimating the depth of invasion. To standardize these diagnostic strategies, we will focus on the NBI International Colorectal Endoscopic (NICE) classification proposed for use by endoscopists with or without a magnifying endoscope. However, more prospective research is needed to prove that this classification can be applied with satisfactory availability, feasibility, and reliability. In the future, NBI might contribute to the evaluation of real-time histological prediction during colonoscopy, which has substantial benefits for both reducing the risk of polypectomy and saving the cost of histological evaluation by resecting and discarding diminutive adenomatous polyps (resect and discard strategy).

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