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首页> 外文期刊>Current opinion in gastroenterology >Endoscopic techniques for recognizing neoplasia in Barrett's esophagus: which should the clinician use?
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Endoscopic techniques for recognizing neoplasia in Barrett's esophagus: which should the clinician use?

机译：用于识别Barrett食管肿瘤的内窥镜技术：临床医生应使用哪些技术？

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PURPOSE OF REVIEW: The key to prevention and cure of esophageal adenocarcinoma is the detection and eradication of neoplasia in patients with Barrett's esophagus. Multiple tools and technologies are emerging for this purpose. RECENT FINDINGS: A detailed white light examination with high-resolution endoscopy and recognition of lesions is paramount. A variety of imaging modalities are being studied for the detection of neoplasia in Barrett's esophagus. Chromoendoscopy, narrow band imaging, and autofluorescence provide a way to target suspicious areas. Confocal endomicroscopy and optical coherence tomography are means to pinpoint imaging to obtain information about the tissue microarchitecture. SUMMARY: The key to detection of neoplasia is a careful white light examination with high-resolution endoscopy and recognition of lesion characteristics. Additional imaging modalities may enhance targeting of lesions or provide more information at a focused level. Many of these modalities have yet to be validated in prospective randomized, multicenter trials.
机译：审查目的：预防和治愈食道腺癌的关键是发现和根除Barrett食道患者的肿瘤。为此目的，出现了多种工具和技术。最近的发现：高分辨率的内窥镜检查和病变识别是白光检查的重中之重。正在研究各种成像方式以检测巴雷特食管中的赘生瘤。染色体内窥镜检查，窄带成像和自发荧光提供了一种靶向可疑区域的方法。共聚焦内窥镜检查和光学相干断层扫描是精确定位成像以获得有关组织微体系结构的信息的手段。摘要：检测瘤形成的关键是仔细的白光检查，高分辨率的内窥镜检查和病变特征的识别。附加的成像方式可以增强病变的靶向性或在聚焦水平上提供更多信息。这些方式中有许多尚未在前瞻性随机，多中心试验中得到验证。

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