The role of acetic acid in the management of Barrett's oesophagus

Bhattacharyya, Rupam; Longcroft‐Wheaton, Gaius; Bhandari, Pradeep

doi:10.1016/j.clinre.2014.07.017

Cited by 2 publications

(2 citation statements)

References 29 publications

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“…If the CS after AA staining are related to the newly hyperplastic columnar epithelium, the length of the BE epithelium can be evaluated from distal end of CS; if CS are limited to the EGJ region, then the proximal end can be borderline for hyperplastic epithelium. Multiple biopsies may prolong the time of procedure and increase patients’ suffering, and cause too much bleeding to get the high-risk lesions [ 18 , 32 ]. The CS helps to outline the target area and make emphasis on the microstructure of the surface.…”

Section: Discussionmentioning

confidence: 99%

Circular stripes were more common in Barrett’s esophagus after acetic acid staining

Sun

Fang

et al. 2018

BMC Gastroenterol

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BackgroundThe diagnosis of Barrett’s esophagus (BE) is disturbed by numerous factors, including correct gastroesophageal junction judgment, the initial location of the Z-line and the biopsy result above it. The acetic acid (AA) could help to diagnose BE better than high resolution imaging technology or magnifying endoscopy, by providing enhanced contrast of different epithelium. We have noticed AA could produce multiple white circular lines, forming circular stripes (CS), at lower esophagus, which hasn’t been reported by others. This study aimed to investigate whether the CS is a special marker in BE patients.MethodsA total of 47 BE patients and 63 healthy people were enrolled from March 2016 to October 2016, and 2% AA staining had been operated routinely at lower esophagus under high resolution gastroscopy. We observed whether there were CS after AA staining and the images were compared between the two groups.ResultsCS were confirmed in 42 patients (89.36%) in the BE group and 5 (7.94) in the control group ((χ2 = 72.931, P < 0.001)). The average width of CS was 0.76 ± 0.25 cm in BE group, which was similar to that in the control group (0.88 ± 0.11 cm). Villous or punctate or reticular pattern usually existed above or below the CS.ConclusionsCS could be found at lower esophagus in most BE patients with AA staining, and this special feature might be valuable in diagnosing, evaluating and following up of BE patients.Electronic supplementary materialThe online version of this article (10.1186/s12876-018-0745-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Circular stripes were more common in Barrett’s esophagus after acetic acid staining

Sun

Fang

et al. 2018

BMC Gastroenterol

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show abstract

“…It is typically used in combination with magnification endoscopy, in which case it is referred to as enhanced magnification endoscopy (EME). After an initial acetowhitening reaction in the administered area, dysplastic areas will tend to lose acetowhitening faster than non dysplastic areas and than normal esophagus, helping to target them for biopsies or therapy (24,29,30) M A N U S C R I P T…”

Section: Acetic Acid (Aa)mentioning

confidence: 98%

Red flag imaging in Barrett's esophagus: Does it help to find the needle in the haystack?

González-Haba

Waxman

2015

Best Practice & Research Clinical Gastroenterology

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The role of acetic acid in the management of Barrett's oesophagus

Cited by 2 publications

References 29 publications

Circular stripes were more common in Barrett’s esophagus after acetic acid staining

Circular stripes were more common in Barrett’s esophagus after acetic acid staining

Red flag imaging in Barrett's esophagus: Does it help to find the needle in the haystack?

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