作者
Yasumasa Ezoe, Manabu Muto, Noriya Uedo, Hisashi Doyama, Kenshi Yao, Ichiro Oda, Kazuhiro Kaneko, Yoshiro Kawahara, Chizu Yokoi, Yasushi Sugiura, Hideki Ishikawa, Yoji Takeuchi, Yoshibumi Kaneko, Yutaka Saito
发表日期
2011/12/1
期刊
Gastroenterology
卷号
141
期号
6
页码范围
2017-2025. e3
出版商
WB Saunders
简介
BACKGROUND & AIMS
It is difficult to accurately diagnose patients with depressed gastric mucosal cancer based on conventional white-light imaging (C-WLI) endoscopy. We compared the real-time diagnostic yield of C-WLI for small, depressed gastric mucosal cancers with that of magnifying narrow-band imaging (M-NBI).
METHODS
We performed a multicenter, prospective, randomized, controlled trial of patients with undiagnosed depressed lesions ≤10 mm in diameter identified by esophagogastroduodenoscopy. Patients were randomly assigned to groups that were analyzed by C-WLI (n = 176) or M-NBI (n = 177) immediately after detection; the C-WLI group received M-NBI after C-WLI. We compared the diagnostic accuracy, sensitivity, and specificity between C-WLI and M-NBI and assessed the diagnostic yield of M-NBI conducted in conjunction with C-WLI.
RESULTS
Overall, 40 gastric cancers (20 in each …
引用总数
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