The Utility of Narrow Band Imaging in Improving the Endoscopic Diagnosis of Gastroesophageal Reflux Disease

Fock, Kwong–Ming; Teo, Eng–Kiong; Ang, Tiing Leong; Tan, Jessica; Law, Ngai Moh

doi:10.1016/j.cgh.2008.08.030

Cited by 75 publications

(57 citation statements)

References 22 publications

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“…Recently, the utility of the digital chromoendoscopy system as the diagnostic tool of minimal change esophagitis has been increasingly explored [28][29][30]. Since our result potentially suggests the clinical significance of the appearance of minimal change esophagitis, more extensive study will also be needed to learn about the diagnosis of minimal change esophagitis by using a digital chromoendoscopy system.…”

Section: Discussionmentioning

confidence: 67%

Presence of Minimal Change Esophagitis Closely Correlates with Pathological Conditions in the Stomach

et al. 2011

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Section: Discussionmentioning

confidence: 67%

Presence of Minimal Change Esophagitis Closely Correlates with Pathological Conditions in the Stomach

et al. 2011

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“…Patients with GERD were noted to have an increased number, tortuosities and dilation of intrapapillary capillary vessels when compared to the control subjects [13]. In a similar study, Fock et al demonstrated that microerosions, mucosal islands and increased vascularity at the squamous columnar junction were more commonly detected in NERD patients when compared to normal subjects [14]. However, the role of these novel techniques to improve mucosal visualization remains to be further elucidated.…”

Section: Radiology and Endoscopymentioning

confidence: 91%

Gastroesophageal reflux disease

Fock

Poh

2010

J Gastroenterol

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GERD is a common chronic gastrointestinal disorder, and its prevalence in Asia is increasing. Classical symptoms of heartburn and regurgitation are common presentations. There is no standard criterion for the diagnosis of GERD, and 24-h pH monitoring lacks sensitivity in NERD. Furthermore, diagnostic studies for gastroesophageal reflux disease have several limitations. A short course of PPI is often used in clinical practice as a diagnostic test for gastroesophageal reflux disease. Elderly patients with GERD usually present with atypical manifestations, and they tend to develop more severe disease. PPI remains the mainstay of treatment for GERD. In a subset of patients who wish to discontinue maintenance treatment, anti-reflux surgery is a therapeutic option.

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“…The number of IPCLs per field was higher in GERD. Also a higher proportion of patients with GERD had changes in the number (OR 12.6; p > 0.00001), dilatation (OR 20; p>0.0001) and tortuosity (OR6.9; p> 0.001) of IPCLs [32]. Similarly, we evaluated 60 patients with NERD on WLE by NBI [29].…”

Section: Nbi In Gerd and Nerdmentioning

confidence: 97%

Enhanced endoscopic imaging and gastroesophageal reflux disease

Banerjee

Reddy

2011

Indian J Gastroenterol

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Gastroesophageal reflux disease (GERD) and GERD-related symptoms are common, and affect 25% to 30% of the general population. Upper gastrointestinal endoscopy of the esophagus has been the most widely used modality for the diagnosis and grading of reflux disease. Endoscopic imaging today has evolved beyond the confines of routine white light endoscopy (WLE) to advanced optical imaging with a precise and real time endoscopic diagnosis. These technological advances have helped circumvent the limitation of WLE in reflux disease by a) improved detection of subtle irregularities, b) characterization of anomalies, and c) possible optical biopsies providing real-time diagnosis. This review attempts to define the current status of these newer technologies vis-a-vis the diagnosis and management of gastroesophageal reflux disease.

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The Utility of Narrow Band Imaging in Improving the Endoscopic Diagnosis of Gastroesophageal Reflux Disease

Cited by 75 publications

References 22 publications

Presence of Minimal Change Esophagitis Closely Correlates with Pathological Conditions in the Stomach

Presence of Minimal Change Esophagitis Closely Correlates with Pathological Conditions in the Stomach

Gastroesophageal reflux disease

Enhanced endoscopic imaging and gastroesophageal reflux disease

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