Virtual Chromoendoscopy in Capsule Endoscopy: A Narrative Review.

Autor: Toskas A; Wolfson Unit for Endoscopy, St Mark's Hospital, Harrow HA1 3UJ, UK., Laskaratos FM; Wolfson Unit for Endoscopy, St Mark's Hospital, Harrow HA1 3UJ, UK., Coda S; Digestive Diseases Centre, Barking Havering and Redbridge University Hospitals NHS Trust 2, Dagenham RM7 0AG, UK.; Photonics Group, Department of Physics, Imperial College London, London SW7 2AZ, UK.
Jazyk: angličtina
Zdroj: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2022 Jul 28; Vol. 12 (8). Date of Electronic Publication: 2022 Jul 28.
DOI: 10.3390/diagnostics12081818
Abstrakt: The usefulness of virtual chromoendoscopy (VC) in capsule endoscopy (CE) isa controversial issue, with conflicting studies regarding its efficacy. FICE and a blue filter were embedded in the PillCam TM software, with the aim to assist readers in identifying the source of obscure gastrointestinal (GI) bleeding (OGIB), coeliac disease mucosal changes and other small and large bowel lesions, including polyps and tumors. This review aims to summarize the existing evidence on the value of VC in the visualization and identification of different types of pathology. Overall, VC in CE with FICE 1 and 2 can be a useful adjunctive tool and may increase the visibility of pigmented lesions, such as angiectasias and ulcers. However, it does not appear to improve the detection of polyps or tumors. On the other hand, the role of FICE 3 and the blue filter appears to be limited. FICE may also be helpful in differentiating hyperplastic and adenomatous colonic polyps during colon capsule endoscopy, although more evidence is needed.
Databáze: MEDLINE