Gastrointesinal: Patchy distribution of Coeliac Disease diagnosed with narrow band imaging and optical magnification

Aktualisierte S2k-Leitlinie Zöliakie der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS)

“…Zudem steht ein direkter Vergleich dieser Technologien mit der WLE in der Sensitivität der endoskopischen Zöliakie-Diagnose noch aus. Auch andere Technologien des Advanced Endoscopic Imaging wie die Magnifikationsendoskopie allein oder in Kombination mit farbstoffbasierter oder virtueller Chromoendoskopie wurden zur endoskopischen Diagnose der villösen Atrophie und der Zöliakie untersucht 166 167 168 169 170 171 . Auch diese Studien zeigen eine hohe Sensitivität dieser Methoden für die endoskopische Diagnostik der Zöliakie.…”

Advanced Endoscopic Technologies to Improve the Diagnosis of Colorectal Polyps

“…There are two prototypes: an endoscope-integrated system and a device that is inserted through the working channel of a therapeutic endoscope (channel ≥3.7 mm). 65 66 The advances made in endocytoscopy allow instant classification among different types of polyps and can be a promising tool for this purpose, including the diagnostic performance and usefulness of AI or CAD for colorectal polyps, along with this technology.…”

Update on narrow band imaging in disorders of the upper gastrointestinal tract

“…The group also demonstrated a high sensitivity and specificity with good to substantial inter‐ and intra‐observer agreement among a group of NBI‐Z naïve endoscopists in correctly discriminating the various villous morphological patterns. The same group has also proposed NBI‐Z as a case‐finding tool to target biopsies in patients with this condition, given the patchy nature of the distribution of villous atrophy …”

“…The group also demonstrated a high sensitivity and specificity with good to substantial inter-and intra-observer agreement among a group of NBI-Z naïve endoscopists in correctly The same group has also proposed NBI-Z as a case-finding tool to target biopsies in patients with this condition, given the patchy nature of the distribution of villous atrophy. 40 In summary, NBI with magnification can be an ideal tool to assist in detecting patients with villous atrophy. Subtler changes in celiac disease (intraepithelial lymphocytosis and crypt hyperplasia) cannot be seen with the level of magnification presently available.…”