Crystal Violet Chromoendoscopy with Mucosal Pit Pattern Diagnosis is Useful for Surveillance of Short-Segment Barrett's Esophagus

Amano, Yuji; Kushiyama, Yoshinori; Ishihara, Shunji; Yuki, Takafumi; Miyaoka, Youichi; Yoshino, Nagisa; Ishimura, Norihisa; Fujishiro, Hirofumi; Adachi, Kyoichi; Maruyama, Riruke; Rumi, M.A. Karim; Kinoshita, Yoshikazu

doi:10.1111/j.1572-0241.2005.40028.x

Cited by 60 publications

(47 citation statements)

References 32 publications

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“…† † † † H. pylori infection appears to be protective for AC H. pylori infection appears to be protective for AC H. pylori (17,19), while a risk factor for OSCC. It has been suggested that the rising incidence of OC seen in western countries may in part be explained by the increasing treatment and eradication of H. pylori infection (31) oesophagus (38). Light-induced fl uorescence endoscopy (LIFE) and narrow band imaging (NBI) are two additional endoscopic techniques for improving sensitivity in fi nding early lesions.…”

Section: Clinical Presentation/ Diagnosismentioning

confidence: 99%

Oesophageal cancer: an overview of a deadly disease

Re¹,

Parker²

2009

Ann Afr Surg.

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Section: Clinical Presentation/ Diagnosismentioning

confidence: 99%

Oesophageal cancer: an overview of a deadly disease

Re¹,

Parker²

2009

Ann Afr Surg.

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“…We have been conducting Barrett's surveillance with crystal violet chromoendoscopy [2,14] for 2 years. In the first year, six Barrett's cancers and 15 dysplasias were found in 1963 consecutive esophagogastroduodenoscopies.…”

Section: Discussionmentioning

confidence: 99%

“…In the present case, the depth of tumor invasion ranked as m-3 but also indicated blood vessel involvement. We investigated the relationship between tumor depth and vessel involvement in early-stage Barrett's cancer as recorded in the literature [2,[16][17][18][19][20][21][22][23][24][25][26][27][28][29] (Table 1). Fifty-six cases with mucosal Barrett's cancer and 53 with submucosal cancer [male : female = 87 : 22; median age, 62.3 years (range, 54-88 years)] were analyzed.…”

Section: Discussionmentioning

confidence: 99%

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A case report of mucosal Barrett's cancer with vessel involvement, with special reference to indications for endoscopic mucosal ablation therapy

et al. 2006

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We present a 72-year-old female patient with mucosal Barrett's cancer. Although preoperative diagnosis suggested tumor invasion throughout the mucosal layer, she was treated by endoscopic mucosal resection at her preference. The tumor invasion depth was "m-3." However, tumor cells were observed along the endothelium of a small vein. Following endoscopic treatment, ultimately the patient underwent radical surgery. Neither residual tumor nor lymph node metastasis was found in the resected specimens. We also reviewed published reports regarding the relationship between tumor depth and vessel involvement in earlystage Barrett's cancer. In Barrett's cancer with a tumor invasion of m-3 where tumor had invaded throughout the mucosal layer, blood or lymphatic vessel invasion was observed in 12.5% of cases (6/48). However, no lymph node metastasis was found. Therefore, we considered that endoscopic mucosal ablation therapy may be applicable to treat intramucosal Barrett's cancer with a tumor invasion depth of m-3.

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“…Endoscopic surveillance for BE may already be required in some Asian countries, including Japan, and some investigators have reported surveying methods for SSBE with special endoscopic techniques such as chromoendoscopy or image-enhanced endoscopy. [12][13][14][15] A reliable diagnosis of BE depends on the accurate endoscopic recognition of the key anatomic landmarks for the esophagogastric junction (EGJ) and squamocolumnar junction (SCJ). The precise localization of the EGJ is much more difficult than the endoscopic identification of the SCJ.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Definition of Esophagogastric Junction for Diagnosis of Barrett's Esophagus: Importance of Systematic Education and Training

Ishimura

Amano

Kinoshita

2009

Digestive Endoscopy

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The diagnosis of Barrett's esophagus (BE) requires an accurate recognition of the columnar-lined esophagus at endoscopy. However, a universally accepted standardized endoscopic grading system of BE was lacking prior to the development of the Prague 'circumferential and maximal' criteria. In this system, the landmark for the esophagogastric junction (EGJ) is the proximal end of the gastric folds, not the distal end of the palisade vessels, which are used to endoscopically identify the EGJ in Japan. Although the circumferential and maximal criteria are clinically relevant, an important shortcoming of this system may be failure to identify short-segment BE, a lesion that is found frequently in the Japanese. To compare the diagnostic yield for BE when using the palisade vessels versus gastric folds as a landmark for the EGJ, we evaluated interobserver diagnostic concordance. The endoscopic identification of the EGJ using both landmarks resulted in unacceptably low kappa coefficients of reliability. However, there was a statistically significant improvement after the participants were thoroughly trained in identification of the EGJ during the endoscopic study. Although it remains controversial which landmark is better for the endoscopic diagnosis of BE, it is important to systematically educate and train endoscopists in order to improve diagnostic consistency in patients with BE.

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Crystal Violet Chromoendoscopy with Mucosal Pit Pattern Diagnosis is Useful for Surveillance of Short-Segment Barrett's Esophagus

Abstract: The combination of crystal violet chromoendoscopy and pit pattern diagnosis is considered to be useful for the surveillance of short-segment Barrett's esophagus.

Cited by 60 publications

References 32 publications

Oesophageal cancer: an overview of a deadly disease

Oesophageal cancer: an overview of a deadly disease

A case report of mucosal Barrett's cancer with vessel involvement, with special reference to indications for endoscopic mucosal ablation therapy

Endoscopic Definition of Esophagogastric Junction for Diagnosis of Barrett's Esophagus: Importance of Systematic Education and Training

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