Definition of Mucosal Breaks in the Era of Magnifying Endoscopy with Narrow-Band Imaging

Autor: Daisuke Kikuchi, Hiroyuki Odagiri, Yoshio Hoshihara, Yorinari Ochiai, Yugo Suzuki, Junnosuke Hayasaka, Masami Tanaka, Kosuke Nomura, Satoshi Yamashita, Akira Matsui, Toshiro Iizuka, Shu Hoteya
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Gastroenterology Research and Practice, Vol 2022 (2022)
Druh dokumentu: article
ISSN: 1687-630X
DOI: 10.1155/2022/3952962
Popis: Background. Gastroesophageal reflux disease is diagnosed endoscopically based on the presence of mucosal breaks. However, mucosal breaks can be judged differently depending on the endoscopist, even in the same image. We investigated how narrow-band imaging (NBI) and magnified endoscopy affect the judgment of mucosal breaks. Methods. A total of 43 consecutive patients were enrolled who had suspected mucosal breaks on white-light images (WLI) and underwent nonmagnified NBI (N-NBI) and magnified NBI (M-NBI) by a single endoscopist. From WLI, N-NBI, and M-NBI, 129 image files were created. Eight endoscopists reviewed the image files and judged the presence of mucosal breaks. Results. The 8 endoscopists determined mucosal breaks were present in 79.4 ± 9.5% (67.4%–93.0%) on WLI, and 76.7 ± 12.7% (53.5%–90.7%) on N-NBI. However, the percentage of mucosal breaks on M-NBI was significantly lower at 48.8 ± 17.0% (18.6%–65.1%) (p
Databáze: Directory of Open Access Journals
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