High definition endoscopy and "narrow band imaging" in the diagnosis of gastroesophageal reflux disease.

Autor:	Assirati FS; Hospital de Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, SP, Brazil., Hashimoto CL; Hospital de Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, SP, Brazil., Dib RA; Hospital de Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, SP, Brazil., Fontes LH; Hospital de Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, SP, Brazil., Navarro-Rodriguez T; Hospital de Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, SP, Brazil.
Jazyk:	angličtina
Zdroj:	Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery [Arq Bras Cir Dig] 2014 Jan-Mar; Vol. 27 (1), pp. 59-65.
DOI:	10.1590/s0102-67202014000100015
Abstrakt:	Introduction: The gastroesophageal reflux disease is a common condition in the western world but less than half of patients present endoscopic abnormalities, making a standard procedure unsuitable for diagnosis. High definition endoscopy coupled with narrow band imaging has shown potential for differentiation of lesions and possible biopsy, allowing early diagnosis and treatment. Methods: This review describes the principles of biotic and their influence in obtaining images with better definition of the vessels in the mucosa, through the narrow band imaging. Selected papers using it in patients with reflux disease and Barrett's esophagus are analyzed in several ways, highlighting the findings and limitations. Conclusion: The meaning of the narrow band imaging in the endoscopic diagnosis of reflux disease will be defined by large scale studies, with different categories of patients, including assessment of symptoms and response to treatment.
Databáze:	MEDLINE
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