Usefulness of magnifying endoscopy with narrow-band imaging for determining gastric tumor margin
Background and Aim: Magnifying endoscopy with narrow‐band imaging (ME‐NBI) enhances images of the irregular mucosal structures and microvessels of gastric carcinoma, and could be useful for determining the margin between cancerous and non‐cancerous mucosa. We evaluated the usefulness of ME‐NBI for...
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| Published in | Journal of gastroenterology and hepatology Vol. 25; no. 10; pp. 1636 - 1641 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Melbourne, Australia
Blackwell Publishing Asia
01.10.2010
Wiley-Blackwell |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0815-9319 1440-1746 1440-1746 |
| DOI | 10.1111/j.1440-1746.2010.06379.x |
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| Abstract | Background and Aim: Magnifying endoscopy with narrow‐band imaging (ME‐NBI) enhances images of the irregular mucosal structures and microvessels of gastric carcinoma, and could be useful for determining the margin between cancerous and non‐cancerous mucosa. We evaluated the usefulness of ME‐NBI for determining the tumor margin compared with indigocarmine chromoendoscopy (ICC).
Methods: The subjects were 110 patients (with 118 lesions) who underwent endoscopic submucosal dissection for gastric tumors. They were randomized into ME‐NBI and ICC groups. Marking was carried out by electrocautery with the tip of a high‐frequency snare at the tumor margins determined by each observation. The distance from the marking dots to the tumor margin was measured histopathologically in the resected specimens. Marking was diagnosed as accurate if the distance was less than 1 mm.
Results: Of the 118 gastric lesions, 55 were allocated to the ME‐NBI group, and 63 to the ICC group. Seventeen lesions in the ME‐NBI group and 18 lesions in the ICC group were excluded because the distance from the marking dots to the tumor margin was immeasurable histopathologically. Thirty‐eight lesions in the ME‐NBI group and 45 lesions in the ICC group were evaluated. The rate of accurate marking of the ME‐NBI group was significantly higher than that of the ICC group (97.4% vs 77.8%, respectively; P‐value = 0.009).
Conclusion: Magnifying endoscopy with narrow‐band imaging can identify gastric tumor margins more clearly than ICC. |
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| AbstractList | Magnifying endoscopy with narrow-band imaging (ME-NBI) enhances images of the irregular mucosal structures and microvessels of gastric carcinoma, and could be useful for determining the margin between cancerous and non-cancerous mucosa. We evaluated the usefulness of ME-NBI for determining the tumor margin compared with indigocarmine chromoendoscopy (ICC).BACKGROUND AND AIMMagnifying endoscopy with narrow-band imaging (ME-NBI) enhances images of the irregular mucosal structures and microvessels of gastric carcinoma, and could be useful for determining the margin between cancerous and non-cancerous mucosa. We evaluated the usefulness of ME-NBI for determining the tumor margin compared with indigocarmine chromoendoscopy (ICC).The subjects were 110 patients (with 118 lesions) who underwent endoscopic submucosal dissection for gastric tumors. They were randomized into ME-NBI and ICC groups. Marking was carried out by electrocautery with the tip of a high-frequency snare at the tumor margins determined by each observation. The distance from the marking dots to the tumor margin was measured histopathologically in the resected specimens. Marking was diagnosed as accurate if the distance was less than 1 mm.METHODSThe subjects were 110 patients (with 118 lesions) who underwent endoscopic submucosal dissection for gastric tumors. They were randomized into ME-NBI and ICC groups. Marking was carried out by electrocautery with the tip of a high-frequency snare at the tumor margins determined by each observation. The distance from the marking dots to the tumor margin was measured histopathologically in the resected specimens. Marking was diagnosed as accurate if the distance was less than 1 mm.Of the 118 gastric lesions, 55 were allocated to the ME-NBI group, and 63 to the ICC group. Seventeen lesions in the ME-NBI group and 18 lesions in the ICC group were excluded because the distance from the marking dots to the tumor margin was immeasurable histopathologically. Thirty-eight lesions in the ME-NBI group and 45 lesions in the ICC group were evaluated. The rate of accurate marking of the ME-NBI group was significantly higher than that of the ICC group (97.4% vs 77.8%, respectively; P-value = 0.009).RESULTSOf the 118 gastric lesions, 55 were allocated to the ME-NBI group, and 63 to the ICC group. Seventeen lesions in the ME-NBI group and 18 lesions in the ICC group were excluded because the distance from the marking dots to the tumor margin was immeasurable histopathologically. Thirty-eight lesions in the ME-NBI group and 45 lesions in the ICC group were evaluated. The rate of accurate marking of the ME-NBI group was significantly higher than that of the ICC group (97.4% vs 77.8%, respectively; P-value = 0.009).Magnifying endoscopy with narrow-band imaging can identify gastric tumor margins more clearly than ICC.CONCLUSIONMagnifying endoscopy with narrow-band imaging can identify gastric tumor margins more clearly than ICC. Magnifying endoscopy with narrow-band imaging (ME-NBI) enhances images of the irregular mucosal structures and microvessels of gastric carcinoma, and could be useful for determining the margin between cancerous and non-cancerous mucosa. We evaluated the usefulness of ME-NBI for determining the tumor margin compared with indigocarmine chromoendoscopy (ICC). The subjects were 110 patients (with 118 lesions) who underwent endoscopic submucosal dissection for gastric tumors. They were randomized into ME-NBI and ICC groups. Marking was carried out by electrocautery with the tip of a high-frequency snare at the tumor margins determined by each observation. The distance from the marking dots to the tumor margin was measured histopathologically in the resected specimens. Marking was diagnosed as accurate if the distance was less than 1 mm. Of the 118 gastric lesions, 55 were allocated to the ME-NBI group, and 63 to the ICC group. Seventeen lesions in the ME-NBI group and 18 lesions in the ICC group were excluded because the distance from the marking dots to the tumor margin was immeasurable histopathologically. Thirty-eight lesions in the ME-NBI group and 45 lesions in the ICC group were evaluated. The rate of accurate marking of the ME-NBI group was significantly higher than that of the ICC group (97.4% vs 77.8%, respectively; P-value = 0.009). Magnifying endoscopy with narrow-band imaging can identify gastric tumor margins more clearly than ICC. Background and Aim: Magnifying endoscopy with narrow‐band imaging (ME‐NBI) enhances images of the irregular mucosal structures and microvessels of gastric carcinoma, and could be useful for determining the margin between cancerous and non‐cancerous mucosa. We evaluated the usefulness of ME‐NBI for determining the tumor margin compared with indigocarmine chromoendoscopy (ICC). Methods: The subjects were 110 patients (with 118 lesions) who underwent endoscopic submucosal dissection for gastric tumors. They were randomized into ME‐NBI and ICC groups. Marking was carried out by electrocautery with the tip of a high‐frequency snare at the tumor margins determined by each observation. The distance from the marking dots to the tumor margin was measured histopathologically in the resected specimens. Marking was diagnosed as accurate if the distance was less than 1 mm. Results: Of the 118 gastric lesions, 55 were allocated to the ME‐NBI group, and 63 to the ICC group. Seventeen lesions in the ME‐NBI group and 18 lesions in the ICC group were excluded because the distance from the marking dots to the tumor margin was immeasurable histopathologically. Thirty‐eight lesions in the ME‐NBI group and 45 lesions in the ICC group were evaluated. The rate of accurate marking of the ME‐NBI group was significantly higher than that of the ICC group (97.4% vs 77.8%, respectively; P ‐value = 0.009). Conclusion: Magnifying endoscopy with narrow‐band imaging can identify gastric tumor margins more clearly than ICC. Background and Aim: Magnifying endoscopy with narrow‐band imaging (ME‐NBI) enhances images of the irregular mucosal structures and microvessels of gastric carcinoma, and could be useful for determining the margin between cancerous and non‐cancerous mucosa. We evaluated the usefulness of ME‐NBI for determining the tumor margin compared with indigocarmine chromoendoscopy (ICC). Methods: The subjects were 110 patients (with 118 lesions) who underwent endoscopic submucosal dissection for gastric tumors. They were randomized into ME‐NBI and ICC groups. Marking was carried out by electrocautery with the tip of a high‐frequency snare at the tumor margins determined by each observation. The distance from the marking dots to the tumor margin was measured histopathologically in the resected specimens. Marking was diagnosed as accurate if the distance was less than 1 mm. Results: Of the 118 gastric lesions, 55 were allocated to the ME‐NBI group, and 63 to the ICC group. Seventeen lesions in the ME‐NBI group and 18 lesions in the ICC group were excluded because the distance from the marking dots to the tumor margin was immeasurable histopathologically. Thirty‐eight lesions in the ME‐NBI group and 45 lesions in the ICC group were evaluated. The rate of accurate marking of the ME‐NBI group was significantly higher than that of the ICC group (97.4% vs 77.8%, respectively; P‐value = 0.009). Conclusion: Magnifying endoscopy with narrow‐band imaging can identify gastric tumor margins more clearly than ICC. |
| Author | Saito, Mari Fukagawa, Yuki Kiyotoki, Shu Satake, Masaaki Shirai, Yasuyuki Nishikawa, Jun Sakaida, Isao Hamabe, Kouichi Okamoto, Takeshi |
| Author_xml | – sequence: 1 givenname: Shu surname: Kiyotoki fullname: Kiyotoki, Shu organization: Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan – sequence: 2 givenname: Jun surname: Nishikawa fullname: Nishikawa, Jun organization: Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan – sequence: 3 givenname: Masaaki surname: Satake fullname: Satake, Masaaki organization: Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan – sequence: 4 givenname: Yuki surname: Fukagawa fullname: Fukagawa, Yuki organization: Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan – sequence: 5 givenname: Yasuyuki surname: Shirai fullname: Shirai, Yasuyuki organization: Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan – sequence: 6 givenname: Kouichi surname: Hamabe fullname: Hamabe, Kouichi organization: Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan – sequence: 7 givenname: Mari surname: Saito fullname: Saito, Mari organization: Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan – sequence: 8 givenname: Takeshi surname: Okamoto fullname: Okamoto, Takeshi organization: Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan – sequence: 9 givenname: Isao surname: Sakaida fullname: Sakaida, Isao organization: Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan |
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| Copyright | 2010 Journal of Gastroenterology and Hepatology Foundation and Blackwell Publishing Asia Pty Ltd 2015 INIST-CNRS 2010 Journal of Gastroenterology and Hepatology Foundation and Blackwell Publishing Asia Pty Ltd. |
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| Keywords | early gastric carcinoma Narrow band imaging magnifying endoscopy endoscopic submucosal dissection Malignant tumor Chromoendoscopy Stomach carcinoma Narrow band signal Gastroenterology narrow-band imaging Digestive diseases Submucosal resection Gastric tumor indigocarmine chromoendoscopy Cancer Gastric disease |
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| References | Uedo N, Ishihara R, Lishi H et al. A new method of diagnosing gastric intestinal metaplasia: narrow-band imaging with magnifying endoscopy. Endoscopy 2006; 38: 819-24. Gotoda T, Yamamoto H, Soetikno RM et al. Endoscopic submucosal dissection of early gastric cancer. J. Gastroenterol. 2006; 41: 929-42. Takenaka R, Kawahara Y, Okada H et al. Risk factors associated with local recurrence of early gastric cancers after endoscopic submucosal dissection. Gastrointest. Endosc. 2008; 68: 887-94. Ohashi A, Niwa Y, Ohmiya N et al. Quantitative analysis of the microvascular architecture observed on magnification endoscopy in cancerous and benign gastric lesions. Endoscopy 2005; 37: 1215-19. Shimura T, Sasaki M, Kataoka H et al. Advantages of endoscopic submucosal dissection over conventional endoscopic mucosal resection. J. Gastroenterol. Hepatol. 2007; 22: 821-6. Tomori A, Oyama T, Takahashi A et al. Histopathological diagnosis of gastric tumors by magnifying endoscopy [in Japanese]. Stomach and Intestine 2007; 42: 730-4. The Japanese Gastric Cancer Association, eds. Guidelines for Gastric Cancer Treatment [in Japanese], 2nd edn. Tokyo: Kanehara, 2004. Yao K, Iwashita A, Tanabe H et al. White opaque substance within superficial elevated gastric neoplasia as visualized by magnification endoscopy with narrow-band imaging: a new optical sign for differentiating between adenoma and carcinoma. Gastrointest. Endosc. 2008; 68: 574-80. Hirasaki S, Kanzaki H, Matsubara M et al. Treatment of over 20 mm gastric cancer by endoscopic submucosal dissection using an insulation-tipped diathermic knife. World J. Gastroenterol. 2007; 13: 3981-4. Sumiyama K, Kaise M, Nakayoshi T et al. Combined use of a magnifying endoscope with a narrow band imaging system and a multibending endoscope for en bloc EMR of early stage gastric cancer. Gastrointest. Endosc. 2004; 60: 79-84. Takeuchi Y, Uedo N, Iishi H et al. Endoscopic submucosal dissection with insulated-tip knife for large mucosal early gastric cancer: a feasibility study (with videos). Gastrointest. Endosc. 2007; 66: 186-93. Ida K, Hashimoto Y, Takeda S et al. Endoscopic diagnosis of gastric cancer with dye scattering. Am. J. Gastroenterol. 1975; 63: 316-20. Yao K, Iwashita A, Kikuchi Y et al. Novel zoom endoscopy technique for visualizing the microvascular architecture in gastric musosa. Clin. Gastroenterol. Hepatol. 2005; 3: S23-26. Oka S, Tanaka S, Kaneko I et al. Advantage of endoscopic submucosal dissection compared with EMR for early gastric cancer. Gastrointest. Endosc. 2006; 64: 877-83. Yao K, Iwashita A, Tanabe H et al. Novel zoom endoscopy technique for diagnosis of small flat gastric cancer: a prospective, blind study. Clin. Gastroenterol. Hepatol. 2007; 5: 869-78. Shim CS. Staining in gastrointestinal endoscopy: clinical applications and limitations. Endoscopy. 1999; 31: 487-96. Yao K, Yao T, Iwashita A. Determining the horizontal extent of early gastric carcinoma: two modern techniques based on differences in the mucosal microvascular architecture and density between carcinomatous and non-carcinomatous mucosa. Dig. Endosc. 2002; 14: S83-87. Fujishiro M. Endoscopic submucosal dissection for stomach neoplasms. World J. Gastroenterol. 2006; 12: 5108-12. Gono K, Obi T, Yamaguchi M et al. Appearance of enhanced tissue features in narrow-band endoscopic imaging. J. Biomed. Opt. 2004; 9: 568-77. Iizuka T, Kikuchi D, Hoteya S et al. The acetic acid + indigocarmine method in the delineation of gastric cancer. J. Gastroenterol. Hepatol. 2008; 23: 1358-61. Demirci S, Gohchi A. A comparative study for fiberoptic and video endoscopic determination of the extent in minimal changes of gastric mucosa using indigo dye spraying. Surg. Endosc. 1990; 4: 80-2. Watanabe K, Ogata S, Kawazoe S et al. Clinical outcomes of EMR for gastric tumors: historical pilot evaluation between endoscopic submucosal dissection and conventional mucosal resection. Gastrointest. Endosc. 2006; 63: 776-82. Gotoda T, Yanagisawa A, Sasako M et al. Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers. Gastric Cancer 2000; 3: 219-25. Nakayoshi T, Tajiri H, Matsuda K et al. Magnifying endoscopy combined with narrow band imaging system for early gastric cancer: correlation of vascular pattern with histopathology (including video). Endoscopy 2000; 36: 1080-4. 2002; 14 2006; 41 2006; 63 2006; 64 2004; 60 2006; 12 2000; 36 2000; 3 2006; 38 2004; 9 2008; 23 2008; 68 1999; 31 2007; 5 1975; 63 2004 2005; 3 2005; 37 2007; 42 2007; 66 2007; 22 2007; 13 1990; 4 e_1_2_5_14_2 e_1_2_5_13_2 e_1_2_5_9_2 e_1_2_5_16_2 e_1_2_5_24_2 e_1_2_5_8_2 e_1_2_5_15_2 e_1_2_5_25_2 e_1_2_5_7_2 e_1_2_5_10_2 e_1_2_5_22_2 e_1_2_5_6_2 e_1_2_5_5_2 e_1_2_5_12_2 e_1_2_5_4_2 e_1_2_5_11_2 e_1_2_5_21_2 e_1_2_5_3_2 Tomori A (e_1_2_5_23_2) 2007; 42 e_1_2_5_2_2 The Japanese Gastric Cancer Association (e_1_2_5_20_2) 2004 e_1_2_5_18_2 e_1_2_5_19_2 Ida K (e_1_2_5_17_2) 1975; 63 |
| References_xml | – reference: Yao K, Iwashita A, Tanabe H et al. White opaque substance within superficial elevated gastric neoplasia as visualized by magnification endoscopy with narrow-band imaging: a new optical sign for differentiating between adenoma and carcinoma. Gastrointest. Endosc. 2008; 68: 574-80. – reference: Yao K, Iwashita A, Kikuchi Y et al. Novel zoom endoscopy technique for visualizing the microvascular architecture in gastric musosa. Clin. Gastroenterol. Hepatol. 2005; 3: S23-26. – reference: Gotoda T, Yamamoto H, Soetikno RM et al. Endoscopic submucosal dissection of early gastric cancer. J. Gastroenterol. 2006; 41: 929-42. – reference: Ohashi A, Niwa Y, Ohmiya N et al. Quantitative analysis of the microvascular architecture observed on magnification endoscopy in cancerous and benign gastric lesions. Endoscopy 2005; 37: 1215-19. – reference: Sumiyama K, Kaise M, Nakayoshi T et al. Combined use of a magnifying endoscope with a narrow band imaging system and a multibending endoscope for en bloc EMR of early stage gastric cancer. Gastrointest. Endosc. 2004; 60: 79-84. – reference: Takeuchi Y, Uedo N, Iishi H et al. Endoscopic submucosal dissection with insulated-tip knife for large mucosal early gastric cancer: a feasibility study (with videos). Gastrointest. Endosc. 2007; 66: 186-93. – reference: Watanabe K, Ogata S, Kawazoe S et al. Clinical outcomes of EMR for gastric tumors: historical pilot evaluation between endoscopic submucosal dissection and conventional mucosal resection. Gastrointest. Endosc. 2006; 63: 776-82. – reference: Yao K, Yao T, Iwashita A. Determining the horizontal extent of early gastric carcinoma: two modern techniques based on differences in the mucosal microvascular architecture and density between carcinomatous and non-carcinomatous mucosa. Dig. Endosc. 2002; 14: S83-87. – reference: Tomori A, Oyama T, Takahashi A et al. Histopathological diagnosis of gastric tumors by magnifying endoscopy [in Japanese]. Stomach and Intestine 2007; 42: 730-4. – reference: Yao K, Iwashita A, Tanabe H et al. Novel zoom endoscopy technique for diagnosis of small flat gastric cancer: a prospective, blind study. Clin. Gastroenterol. Hepatol. 2007; 5: 869-78. – reference: Shim CS. Staining in gastrointestinal endoscopy: clinical applications and limitations. Endoscopy. 1999; 31: 487-96. – reference: Gono K, Obi T, Yamaguchi M et al. Appearance of enhanced tissue features in narrow-band endoscopic imaging. J. Biomed. Opt. 2004; 9: 568-77. – reference: The Japanese Gastric Cancer Association, eds. Guidelines for Gastric Cancer Treatment [in Japanese], 2nd edn. Tokyo: Kanehara, 2004. – reference: Nakayoshi T, Tajiri H, Matsuda K et al. Magnifying endoscopy combined with narrow band imaging system for early gastric cancer: correlation of vascular pattern with histopathology (including video). Endoscopy 2000; 36: 1080-4. – reference: Gotoda T, Yanagisawa A, Sasako M et al. Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers. Gastric Cancer 2000; 3: 219-25. – reference: Uedo N, Ishihara R, Lishi H et al. A new method of diagnosing gastric intestinal metaplasia: narrow-band imaging with magnifying endoscopy. Endoscopy 2006; 38: 819-24. – reference: Oka S, Tanaka S, Kaneko I et al. Advantage of endoscopic submucosal dissection compared with EMR for early gastric cancer. Gastrointest. Endosc. 2006; 64: 877-83. – reference: Shimura T, Sasaki M, Kataoka H et al. Advantages of endoscopic submucosal dissection over conventional endoscopic mucosal resection. J. Gastroenterol. Hepatol. 2007; 22: 821-6. – reference: Fujishiro M. Endoscopic submucosal dissection for stomach neoplasms. World J. Gastroenterol. 2006; 12: 5108-12. – reference: Hirasaki S, Kanzaki H, Matsubara M et al. Treatment of over 20 mm gastric cancer by endoscopic submucosal dissection using an insulation-tipped diathermic knife. World J. Gastroenterol. 2007; 13: 3981-4. – reference: Iizuka T, Kikuchi D, Hoteya S et al. The acetic acid + indigocarmine method in the delineation of gastric cancer. J. Gastroenterol. Hepatol. 2008; 23: 1358-61. – reference: Takenaka R, Kawahara Y, Okada H et al. Risk factors associated with local recurrence of early gastric cancers after endoscopic submucosal dissection. Gastrointest. Endosc. 2008; 68: 887-94. – reference: Ida K, Hashimoto Y, Takeda S et al. Endoscopic diagnosis of gastric cancer with dye scattering. Am. J. Gastroenterol. 1975; 63: 316-20. – reference: Demirci S, Gohchi A. A comparative study for fiberoptic and video endoscopic determination of the extent in minimal changes of gastric mucosa using indigo dye spraying. Surg. Endosc. 1990; 4: 80-2. – volume: 66 start-page: 186 year: 2007 end-page: 93 article-title: Endoscopic submucosal dissection with insulated‐tip knife for large mucosal early gastric cancer: a feasibility study (with videos) publication-title: Gastrointest. Endosc. – volume: 68 start-page: 887 year: 2008 end-page: 94 article-title: Risk factors associated with local recurrence of early gastric cancers after endoscopic submucosal dissection publication-title: Gastrointest. Endosc. – volume: 23 start-page: 1358 year: 2008 end-page: 61 article-title: The acetic acid + indigocarmine method in the delineation of gastric cancer publication-title: J. Gastroenterol. Hepatol. – volume: 68 start-page: 574 year: 2008 end-page: 80 article-title: White opaque substance within superficial elevated gastric neoplasia as visualized by magnification endoscopy with narrow‐band imaging: a new optical sign for differentiating between adenoma and carcinoma publication-title: Gastrointest. Endosc. – volume: 12 start-page: 5108 year: 2006 end-page: 12 article-title: Endoscopic submucosal dissection for stomach neoplasms publication-title: World J. Gastroenterol. – volume: 63 start-page: 776 year: 2006 end-page: 82 article-title: Clinical outcomes of EMR for gastric tumors: historical pilot evaluation between endoscopic submucosal dissection and conventional mucosal resection publication-title: Gastrointest. Endosc. – volume: 36 start-page: 1080 year: 2000 end-page: 4 article-title: Magnifying endoscopy combined with narrow band imaging system for early gastric cancer: correlation of vascular pattern with histopathology (including video) publication-title: Endoscopy – volume: 60 start-page: 79 year: 2004 end-page: 84 article-title: Combined use of a magnifying endoscope with a narrow band imaging system and a multibending endoscope for en bloc EMR of early stage gastric cancer publication-title: Gastrointest. Endosc. – volume: 14 start-page: S83 year: 2002 end-page: 87 article-title: Determining the horizontal extent of early gastric carcinoma: two modern techniques based on differences in the mucosal microvascular architecture and density between carcinomatous and non‐carcinomatous mucosa publication-title: Dig. Endosc. – year: 2004 – volume: 42 start-page: 730 year: 2007 end-page: 4 article-title: Histopathological diagnosis of gastric tumors by magnifying endoscopy [in Japanese] publication-title: Stomach and Intestine – volume: 63 start-page: 316 year: 1975 end-page: 20 article-title: Endoscopic diagnosis of gastric cancer with dye scattering publication-title: Am. J. Gastroenterol. – volume: 3 start-page: 219 year: 2000 end-page: 25 article-title: Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers publication-title: Gastric Cancer – volume: 41 start-page: 929 year: 2006 end-page: 42 article-title: Endoscopic submucosal dissection of early gastric cancer publication-title: J. Gastroenterol. – volume: 9 start-page: 568 year: 2004 end-page: 77 article-title: Appearance of enhanced tissue features in narrow‐band endoscopic imaging publication-title: J. Biomed. Opt. – volume: 13 start-page: 3981 year: 2007 end-page: 4 article-title: Treatment of over 20 mm gastric cancer by endoscopic submucosal dissection using an insulation‐tipped diathermic knife publication-title: World J. Gastroenterol. – volume: 22 start-page: 821 year: 2007 end-page: 6 article-title: Advantages of endoscopic submucosal dissection over conventional endoscopic mucosal resection publication-title: J. Gastroenterol. Hepatol. – volume: 5 start-page: 869 year: 2007 end-page: 78 article-title: Novel zoom endoscopy technique for diagnosis of small flat gastric cancer: a prospective, blind study publication-title: Clin. Gastroenterol. Hepatol. – volume: 38 start-page: 819 year: 2006 end-page: 24 article-title: A new method of diagnosing gastric intestinal metaplasia: narrow‐band imaging with magnifying endoscopy publication-title: Endoscopy – volume: 3 start-page: S23 year: 2005 end-page: 26 article-title: Novel zoom endoscopy technique for visualizing the microvascular architecture in gastric musosa publication-title: Clin. Gastroenterol. Hepatol. – volume: 64 start-page: 877 year: 2006 end-page: 83 article-title: Advantage of endoscopic submucosal dissection compared with EMR for early gastric cancer publication-title: Gastrointest. Endosc. – volume: 37 start-page: 1215 year: 2005 end-page: 19 article-title: Quantitative analysis of the microvascular architecture observed on magnification endoscopy in cancerous and benign gastric lesions publication-title: Endoscopy – volume: 4 start-page: 80 year: 1990 end-page: 2 article-title: A comparative study for fiberoptic and video endoscopic determination of the extent in minimal changes of gastric mucosa using indigo dye spraying publication-title: Surg. Endosc. – volume: 31 start-page: 487 year: 1999 end-page: 96 article-title: Staining in gastrointestinal endoscopy: clinical applications and limitations publication-title: Endoscopy. – ident: e_1_2_5_2_2 doi: 10.1007/s00535-006-1954-3 – ident: e_1_2_5_12_2 doi: 10.1016/S1542-3565(05)00255-7 – volume-title: Guidelines for Gastric Cancer Treatment year: 2004 ident: e_1_2_5_20_2 – ident: e_1_2_5_22_2 doi: 10.1055/s-2006-944632 – volume: 42 start-page: 730 year: 2007 ident: e_1_2_5_23_2 article-title: Histopathological diagnosis of gastric tumors by magnifying endoscopy [in Japanese] publication-title: Stomach and Intestine – ident: e_1_2_5_3_2 doi: 10.3748/wjg.v12.i32.5108 – volume: 63 start-page: 316 year: 1975 ident: e_1_2_5_17_2 article-title: Endoscopic diagnosis of gastric cancer with dye scattering publication-title: Am. J. 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| Snippet | Background and Aim: Magnifying endoscopy with narrow‐band imaging (ME‐NBI) enhances images of the irregular mucosal structures and microvessels of gastric... Background and Aim: Magnifying endoscopy with narrow‐band imaging (ME‐NBI) enhances images of the irregular mucosal structures and microvessels of gastric... Magnifying endoscopy with narrow-band imaging (ME-NBI) enhances images of the irregular mucosal structures and microvessels of gastric carcinoma, and could be... |
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| SubjectTerms | Aged Aged, 80 and over Biological and medical sciences Diagnosis, Differential Digestive system. Abdomen Dissection - methods early gastric carcinoma Endoscopes, Gastrointestinal endoscopic submucosal dissection Endoscopy Endoscopy, Gastrointestinal - methods Female Follow-Up Studies Gastrectomy - methods Gastric Mucosa - pathology Gastric Mucosa - surgery Gastroenterology. Liver. Pancreas. Abdomen Humans Image Enhancement - methods indigocarmine chromoendoscopy Investigative techniques, diagnostic techniques (general aspects) magnifying endoscopy Male Medical sciences Middle Aged narrow-band imaging Prognosis Reproducibility of Results Retrospective Studies Severity of Illness Index Stomach Neoplasms - diagnosis Stomach Neoplasms - surgery Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tumors |
| Title | Usefulness of magnifying endoscopy with narrow-band imaging for determining gastric tumor margin |
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