The Role of Adjunct Imaging in Endoscopic Detection of Dysplasia in Barrett's Esophagus

Pujan Kandel, Michael B. Wallace

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

Advances in imaging technologies have demonstrated promise in early detection of dysplasia and cancer in Barrett's esophagus (BE). Optical chromoendoscopy, dye-based chromoendoscopy, and novel technologies have provided the opportunity to visualize the cellular and subcellular structures. Only narrow-band imaging and acetic acid chromoendoscopy have reached benchmarks for clinical use. Volumetric laser endomicroscopy and molecular imaging are not established for routine use. Best practice in management of BE should be focused on careful endoscopic examination, resection, or ablation of the entire abnormal lesion, as well as the use of available imaging technique that has good diagnostic accuracy.

Original languageEnglish (US)
Pages (from-to)423-446
Number of pages24
JournalGastrointestinal Endoscopy Clinics of North America
Volume27
Issue number3
DOIs
StatePublished - Jul 2017

Keywords

  • Barrett's esophagus
  • Imaging
  • Optical chromoendoscopy

ASJC Scopus subject areas

  • Gastroenterology

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