Magnification narrow-band imaging for the diagnosis of early gastric cancer a review of the Japanese literature for the Western endoscopist》.pdf
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Magnification narrow-band imaging for the diagnosis of early gastric cancer a review of the Japanese literature for the Western endoscopist》.pdf
REVIEW ARTICLE
Magnification narrow-band imaging for the diagnosis of early gastric
cancer: a review of the Japanese literature for the Western
endoscopist
Bu’Hussain Hayee, MRCP, PhD,1 Haruhiro Inoue, MD, PhD,2 Hiroki Sato, MD,2 Esperanza Grace Santi, MD,2
Akira Yoshida, MD,2 Manabu Onimaru, MD,2 Haruo Ikeda, MD,2 Shin-ei Kudo, MD, PhD2
London, United Kingdom; Yokohama, Japan
With advances in endoscopic imaging and image en- endoscopic diagnosis before (and indeed instead of)
hancement, it is now possible to reliably differentiate biopsy by the examination of the mucosal microvascula-
non-neoplastic pathology from cancer throughout the GI ture (MV).7 In particular, the combination of both mag-
tract. Techniques developed and reported in the Japanese nification endoscopy and magnification narrow-band
literature provide a wealth of information that is not imme- imaging (M-NBI) has made it possible to detect and differ-
diately accessible or easy to interpret. Despite this, along entiate between non-neoplastic and neoplastic lesions
with many other challenges facing the “Western ” endo- with a much greater degree of accuracy than standard
scopist, much of this experience can be translated and white-light endoscopy (WLE). This approach is particularly
summarized in a diagnostic algorithm. In this review, we attractive when dealing with early cancer as it enables
collate the Japanese data on the use of magnifying endos- endoscopic resection and accurate staging.
copy and narrow-band imaging in the stomach. In the esophagus and colon, it has been possible to
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