Diagnostic value of acetic acid chromoendoscopy combined with narrow-band imaging in gastric intestinal metaplasia |
Received:December 12, 2019 Revised:January 09, 2020 Click here to download the full text |
Citation of this paper:JIANG Miao,LI Zheng-yang,ZHOU Hao,ZHANG Yi-qun.Diagnostic value of acetic acid chromoendoscopy combined with narrow-band imaging in gastric intestinal metaplasia[J].Chinese Journal of Clinical Medicine,2020,27(2):298-302 |
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Author Name | Affiliation | E-mail | JIANG Miao | Department of Gastroenterology, Jinshan Hospital, Fudan University, Shanghai 201508, China | | LI Zheng-yang | Department of Gastroenterology, Jinshan Hospital, Fudan University, Shanghai 201508, China | | ZHOU Hao | Department of Gastroenterology, Jinshan Hospital, Fudan University, Shanghai 201508, China | | ZHANG Yi-qun | Department of Endoscopy Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China | zhang.yiqun@zs-hospital.sh.cn |
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Abstract:Objective: To investigate the diagnostic effect and value in acetic acid chromoendoscopy combined with narrow-band imaging mode for gastric intestinal metaplasia (GIM) in Helicobacter pylori positive patients. Methods: Ninety-three patients with Helicobacter pylori infection were examined by endoscopy. They were observed and biopsied by esophagogastroduodenoscopy (EGD) mode, acetic acid chromoendoscopy (ACC) mode, and ACC combined with narrow-band imaging(NBI)mode. The diagnostic effects of the three models for GIM were calculated. Results: The diagnostic sensitivity of ACC combined with NBI mode for GIM was 92.06%, much higher than that of ACC 74.60% and EGD 30.16%. The AUC of three models was 0.584, 0.790 and 0.860 respectively. Conclusions: ACC combined with NBI can significantly improve the diagnosis of GIM, and might be a good tool for GIM screening. |
keywords:acetic acid chromoendoscopy narrow band imaging gastric intestinal metaplasia diagnosis |
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