Journal
DIGESTIVE ENDOSCOPY
Volume 28, Issue 4, Pages 379-393Publisher
WILEY
DOI: 10.1111/den.12638
Keywords
diagnosis; early cancer; gastric cancer; magnifying endoscopy; narrow-band imaging
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Funding
- Eisai Co., Ltd
- Takeda Pharmaceutical Co. Ltd
- Daiichi Sankyo Company, Ltd
- AstraZeneca
- Astellas Pharma Inc.
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Gastric cancer is the third leading cause of cancer death worldwide. Early detection and accurate diagnosis of mucosal cancer is desirable in order to achieve decreased mortality; cause-specific survival of patients with early gastric cancer is reported to exceed 95%. Endoscopy is the functional modality to detect early cancer; however, the procedure is not definitive when using conventional white-light imaging. In contrast, magnifying narrow-band imaging (M-NBI), a novel endoscopic technology, is a powerful tool for characterizing gastric mucosal lesions because it can visualize the microvascular architecture and microsurface structure. To date, many reports on the diagnosis of early gastric cancer by M-NBI, including multicenter prospective randomized studies conducted in Japan, have been published in peer-reviewed international journals. Based on these published data, we devised a proposal for a diagnostic strategy for gastric mucosal cancer using M-NBI to simplify the process of diagnosis and improve accuracy. Herein, we recommend a diagnostic algorithm for early gastric cancer using magnifying endoscopy.
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