Stomach and Intestine(Tokyo) Volume 53, Issue 11 (October 2018)
Japanese

Magnifying Endoscopic Diagnosis for Gastric Intestinal Metaplasia Masayasu Ohmori 1 , Noriya Uedo 1 , Hiromitsu Kanzaki 2 , Taro Iwatsubo 1 , Hiroko Nakahira 1 , Noriko Matsuura 1 , Satoki Shichijo 1 , Akira Maekawa 1 , Takashi Kanesaka 1 , Sachico Yamamoto 1 , Yoji Takeuchi 1 , Koji Higashino 1 , Ryu Ishihara 1 , Yasuhiko Tomita 3 1Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan 2Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan 3Department of Pathology, International University of Health and Welfare, Narita, Japan Keyword: 腸上皮化生 , 完全型腸上皮化生 , 不完全型腸上皮化生 pp.1438-1444
Published Date 2018/10/25
DOI https://doi.org/10.11477/mf.1403201492
  • Abstract
  • Look Inside
  • Reference

 The diagnosis of gastric intestinal metaplasia is essential to consider the surveillance interval of gastroscopy depending on the risk of gastric cancer.

 Regarding the diagnosis of intestinal metaplasia, several useful findings with magnifying endoscopy have been reported. In addition, high-resolution endoscopic imaging has enhanced the diagnostic ability of non-magnifying endoscopy.

 Regarding intestinal metaplasia, research has revealed that incomplete intestinal metaplasia poses a higher risk of gastric cancer occurrence than complete intestinal metaplasia.

 We examined the association between the microsurface pattern of the corpus mucosa and the subtype of intestinal metaplasia using ME-NBI(magnifying endoscopy combined with narrow band imaging).

 In ME-NBI, the proportion of incomplete intestinal metaplasia tends to be high in the region with dominant ridge crypt openings ; however, this was not a precise method of discrimination.


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基本情報

05362180.53.11.jpg
胃と腸
53巻11号 (2018年10月)
電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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