Advanced Imaging in Barrett's Esophagus

Muthusamy, V. Raman; Kim, Stephen; Wallace, Michael B.

doi:10.1016/j.gtc.2015.02.012

Cited by 20 publications

(9 citation statements)

References 69 publications

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“…[9][10][11] Over the last decade, various advanced imaging techniques have been evaluated in an attempt to improve the detection of dysplasia and EAC within BE. 13 The most studied techniques include chromoendoscopy by using acetic acid or methylene blue, confocal laser endomicroscopy (CLE), and electronic chromoendoscopy with use of narrow-band imaging with or without autofluorescence imaging. In addition, other modalities of electronic chromoendoscopy including i-SCAN (Pentax Medical, Montvale, NJ) and Fujinon Intelligent Chromoendoscopy (FICE; Fujinon Inc, Wayne, NJ), endocytoscopy, volumetric laser endomicroscopy, and spectroscopy are also being evaluated for the ability to improve detection of dysplasia and EAC within BE.…”

Section: Introductionmentioning

confidence: 99%

ASGE Technology Committee systematic review and meta-analysis assessing the ASGE Preservation and Incorporation of Valuable Endoscopic Innovations thresholds for adopting real-time imaging–assisted endoscopic targeted biopsy during endoscopic surveillance of Barrett’s esophagus

Thosani¹,

Dayyeh²,

Sharma³

et al. 2016

Gastrointestinal Endoscopy

185

152

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Our meta-analysis indicates that targeted biopsies with acetic acid chromoendoscopy, electronic chromoendoscopy by using narrow-band imaging, and endoscope-based CLE meet the thresholds set by the ASGE PIVI, at least when performed by endoscopists with expertise in advanced imaging techniques. The ASGE Technology Committee therefore endorses using these advanced imaging modalities to guide targeted biopsies for the detection of dysplasia during surveillance of patients with previously nondysplastic BE, thereby replacing the currently used random biopsy protocols.

show abstract

Section: Introductionmentioning

confidence: 99%

ASGE Technology Committee systematic review and meta-analysis assessing the ASGE Preservation and Incorporation of Valuable Endoscopic Innovations thresholds for adopting real-time imaging–assisted endoscopic targeted biopsy during endoscopic surveillance of Barrett’s esophagus

Thosani¹,

Dayyeh²,

Sharma³

et al. 2016

Gastrointestinal Endoscopy

185

152

View full text Add to dashboard Cite

show abstract

“…OCT has higher spatial resolution but lower depth of penetration than EUS (74). Its ability to image beneath the surface epithelium has made it an attractive target for study in the evaluation of SSIM.…”

Section: Post-treatment Surveillancementioning

confidence: 99%

Barrett’s esophagus: best practices for treatment and post-treatment surveillance

Mansour

El–Serag

Anandasabapathy

2017

Ann. Cardiothorac. Surg.

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Barrett's esophagus (BE) is a premalignant condition that increases the risk of esophageal adenocarcinoma (EAC). Significantly more common in the Western world, risk factors include increased age, male sex, white race, gastro-esophageal reflux disease (GERD), central obesity, and cigarette smoking. The rates of progression to cancer depend on the grade of Barrett's dysplasia. Screening for BE is recommended in patients with GERD and additional risk factors. Endoscopic surveillance of patients with BE likely improves overall outcomes. Advanced endoscopic imaging can help increase the efficiency of current endoscopic surveillance.Endoscopic therapy is safe and effective for the treatment of dysplastic BE and intramucosal EAC, but ongoing surveillance following treatment is necessary. This review will cover screening, surveillance, advanced imaging, chemoprevention, endoscopic treatment, and post-treatment surveillance of BE.

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“…Endoscopic diagnosis of esophageal diseases, such as GERD, Barrett's esophagus (BE), and esophageal carcinomas, often requires considerable time and labor with little to show for it . Recent advances in endoscopic imaging, such as wireless capsule endoscopy (CE), CLE, and electronic chromoendoscopy, have been made in an effort to improve the detection of esophageal diseases . However, whether such advances have improved the detection of esophageal pathologies compared to conventional high‐definition white‐light endoscopy is still debatable …”

Section: Novel Endoscopic Devicesmentioning

confidence: 99%

“…14 Recent advances in endoscopic imaging, such as wireless capsule endoscopy (CE), CLE, and electronic chromoendoscopy, have been made in an effort to improve the detection of esophageal diseases. 15 However, whether such advances have improved the detection of esophageal pathologies compared to conventional high-definition white-light endoscopy is still debatable. 16 Wireless CE is a well-established method of investigating the small intestine.…”

Section: Novel Endoscopic Devicesmentioning

confidence: 99%

Novel insights into esophageal diagnostic procedures

Savarino

Ottonello

Tolone

et al. 2016

Annals of the New York Academy of Sciences

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The 21st century offers new advances in diagnostic procedures and protocols in the management of esophageal diseases. This review highlights the most recent advances in esophageal diagnostic technologies, including clinical applications of novel endoscopic devices, such as ultrathin endoscopy and confocal laser endomicroscopy for diagnosis and management of Barrett's esophagus; novel parameters and protocols in high-resolution esophageal manometry for the identification and better classification of motility abnormalities; innovative connections between esophageal motility disorder diagnosis and detection of gastroesophageal reflux disease (GERD); impedance-pH testing for detecting the various GERD phenotypes; performance of distensibility testing for better pathophysiological knowledge of the esophagus and other gastrointestinal abnormalities; and a modern view of positron emission tomography scanning in metastatic disease detection in the era of accountability as a model for examining other new technologies. We now have better tools than ever for the detection of esophageal diseases and disorders, and emerging data are helping to define how well these tools change management and provide value to clinicians. This review features novel insights from multidisciplinary perspectives, including both surgical and medical perspectives, into these new tools, and it offers guidance on the use of novel technologies in clinical practice and future directions for research.

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Advanced Imaging in Barrett's Esophagus

Cited by 20 publications

References 69 publications

ASGE Technology Committee systematic review and meta-analysis assessing the ASGE Preservation and Incorporation of Valuable Endoscopic Innovations thresholds for adopting real-time imaging–assisted endoscopic targeted biopsy during endoscopic surveillance of Barrett’s esophagus

ASGE Technology Committee systematic review and meta-analysis assessing the ASGE Preservation and Incorporation of Valuable Endoscopic Innovations thresholds for adopting real-time imaging–assisted endoscopic targeted biopsy during endoscopic surveillance of Barrett’s esophagus

Barrett’s esophagus: best practices for treatment and post-treatment surveillance

Novel insights into esophageal diagnostic procedures

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