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Diagnosis of Neoplasia in Barrett’s Esophagus using Vital-dye Enhanced Fluorescence Imaging

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Advanced Imaging in Barrett's Esophagus

V Raman Muthusamy¹, Stephen Kim¹, Michael B Wallace²

¹Division of Digestive Diseases, David Geffen School of Medicine at UCLA, 200 UCLA Medical Plaza, Room 330-37, Los Angeles, CA 90095, USA.

Gastroenterology Clinics of North America

|May 30, 2015

Abstract:

Barrett's esophagus (BE) is present in up to 5.6% of the US population and is the precursor lesion for esophageal adenocarcinoma. Surveillance endoscopy is the primary management approach for BE. However, standard protocol biopsies have been associated with significant miss rates of dysplastic lesions in patients with BE. Thus, a variety of methods to optimize the imaging of BE have been developed to improve the efficiency and diagnostic yield of surveillance endoscopy in detecting early neoplasia. These techniques use changes that occur at macroscopic, microscopic, and subcellular levels in early neoplasia and are the focus of this article.

Keywords:

Autofluorescence imaging Barrett's esophagus Chromoendoscopy Confocal laser endomicroscopy Imaging Narrow-band imaging

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