Determination of 0IIb Type Early Gastric Cancer Margins-From the Standpoint of FICE(Flexible Spectral Imaging Color Enhancement) Shigeto Yoshida 1 , Shinji Tanaka 1 , Ritsuo Mouri 2 , Makoto Higashiyama 2 , Yoji Sanomura 2 , Keichi Onji 2 , Yoshito Takemura 2 , Shiro Oka 1 , Kazuaki Chayama 2 1Department of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan 2Department of Gastroenterology and Hepatology, Hiroshima University Hospital, Hiroshima, Japan Keyword: FICE , 分光内視鏡 , 拡大内視鏡 , 早期胃癌 , 0IIb型 pp.101-108
Published Date 2010/1/25
DOI https://doi.org/10.11477/mf.1403101838
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 The preoperative identification of the horizontal extent of an early gastric cancer is essential for carrying out minimal invasive surgery. Early gastric cancer type 0IIb is defined as a lesion devoid of any elevation or depression exceeding the extent of irregularity as recognized in the normal gastric mucosa. Flexible spectral Imaging Color Enhancement(FICE)is a digital method of Image-Enhanced Endoscopy which can be used to gain insight into the pathology of the lesion by using spectral estimation technology. The FICE setting can be customized by the endoscopist and this system can more clearly visualize both microvascular architecture and microsurface structure than does white light endoscopic observation. The FICE system is non-invasive and makes it easy to determine margins of 0IIb type early gastric cancers.

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