文献詳細
増刊号 消化管診断・治療手技のすべて2021
胃 診断
文献概要
拡大内視鏡とNBI(narrow band imaging)を併用することで癌特有の微小血管構築像および表面微細構造が鮮明に描出可能となり,胃病変の癌・非癌の鑑別診断に大きく貢献する.本稿では,NBI併用拡大内視鏡(magnifying endoscopy with NBI ; M-NBI)による胃病変の鑑別診断について解説する.なお,筆者ら1)が開発した胃M-NBIの診断能を向上させるE-learning systemを公開しており(https://www.medicaltown.net/mnbi/),効率よく,かつ正しい学習のために利用していただきたい.
参考文献
1)Nakanishi H, Doyama H, Ishikawa H, et al. Evaluation of an e-learning system for diagnosis of gastric lesions using magnifying narrow-band imaging:a multicenter randomized controlled study. Endoscopy 49:957-967, 2017
2)Yao K, Anagnostopoulos GK, Ragunath K. Magnifying endoscopy for diagnosing and delineating early gastric cancer. Endoscopy 41:462-467, 2009
3)Ezoe Y, Muto M, Uedo N, et al. Magnifying narrowband imaging is more accurate than conventional white-light imaging in diagnosis of gastric mucosal cancer. Gastroenterology 141:2017-2025, 2011
4)Yao K, Doyama H, Gotoda T, et al. Diagnostic performance and limitations of magnifying narrow-band imaging in screening endoscopy of early gastric cancer:a prospective multicenter feasibility study. Gastric Cancer 17:669-679, 2014
5)Doyama H, Nakanishi H, Yao K. Image-enhanced endoscopy and its corresponding histopathology in the stomach. Gut Liver 2020[Epub ahead of print]
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