切换至 "中华医学电子期刊资源库"

中华胃肠内镜电子杂志 ›› 2024, Vol. 11 ›› Issue (02) : 123 -126. doi: 10.3877/cma.j.issn.2095-7157.2024.02.011

综述

染色内镜用于食管癌早期诊断的研究进展
王子鑫1, 柴宁莉2,(), 令狐恩强2,()   
  1. 1. 100853 北京,解放军医学院;100853 北京,解放军总医院第一医学中心消化内科医学部
    2. 100853 北京,解放军总医院第一医学中心消化内科医学部
  • 收稿日期:2023-07-07 出版日期:2024-05-15
  • 通信作者: 柴宁莉, 令狐恩强

Research progress in the early diagnosis of esophageal cancer by chromoendoscopy

Zixin Wang1, Ningli Chai2,(), Enqiang Linghu2,()   

  1. 1. Chinese PLA Medical School, Beijing 100853, China; Department of Gastroenterology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
    2. Department of Gastroenterology, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
  • Received:2023-07-07 Published:2024-05-15
  • Corresponding author: Ningli Chai, Enqiang Linghu
引用本文:

王子鑫, 柴宁莉, 令狐恩强. 染色内镜用于食管癌早期诊断的研究进展[J]. 中华胃肠内镜电子杂志, 2024, 11(02): 123-126.

Zixin Wang, Ningli Chai, Enqiang Linghu. Research progress in the early diagnosis of esophageal cancer by chromoendoscopy[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2024, 11(02): 123-126.

随着内镜技术的不断发展,食管早癌经内镜下超级微创技术可实现治愈性切除,且创伤小、恢复快、并发症少。但早期食管病变面积较小,在传统白光内镜下易漏诊。染色内镜的出现显著提高了早期食管病变的检出率,它包括化学染色内镜和电子染色内镜。本文就不同染色内镜的镜下特点及在诊断食管早癌中的应用进行综述。

With the development of endoscopic technology, radical resection of early esophageal neoplastic lesions can be achieved by super minimally invasive surgery, with less trauma, faster recovery and fewer complications.However, due to the small area of early esophageal lesions, it is easy to miss diagnosis under traditional white light endoscopy (WLI).The emergence of staining endoscopy, including chemical and electronic staining endoscopy, has significantly improved the detection rate of early esophageal lesions.This article reviews the characteristics of different staining endoscopy and their application in the diagnosis of early esophageal cancer.

表1 电子染色内镜成像特点比较
[1]
Sung HFerlay JSiegel R L,et al.Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries[J].CA Cancer J Clin202171(3):209-249.
[2]
赫捷,陈万青,李兆申,等.中国食管癌筛查与早诊早治指南(2022,北京)[J].中国肿瘤202231(6):401-436.
[3]
中华医学会消化内镜学分会,中国医师协会内镜医师分会,北京医学会消化内镜学分会.中国食管良恶性狭窄内镜下防治专家共识意见(2020,北京) [J/CD].中华胃肠内镜电子杂志20207(4):165-175.
[4]
庄小端,白杨.表浅食管鳞状细胞癌内镜下诊断进展[J].中华消化内镜杂志201936(4):299-304.
[5]
Morita FBernardo WIde E,et al.Narrow band imaging versus lugol chromoendoscopy to diagnose squamous cell carcinoma of the esophagus: a systematic review and meta-analysis[J].BMC cancer201717(1):54-68.
[6]
Liu MZhou RGuo C,et al.Size of Lugol-unstained lesions as a predictor for risk of progression in premalignant lesions of the esophagus [J].Gastrointest Endosc202193(5):1065-1073.
[7]
Gao QYFang JY.Early esophageal cancer screening in China[J].Best Pract Res Clin Gastroenterol201529(6):885-893.
[8]
Ishihara RYamada TIishi H,et al.Quantitative analysis of the color change after iodine staining for diagnosing esophageal high-grade intraepithelial neoplasia and invasive cancer[J].Gastrointest Endosc2009, 69(2):213-218.
[9]
Zheng JYChen YHChen YY,et al.Presence of pink-color sign within 1 min after iodine staining has high diagnostic accordance rate for esophageal high-grade intraepithelial neoplasia/invasive cancer[J].Saudi J Gastroenterol201925(2):113-118.
[10]
Bisschops RAreia MCoron E,et al.Performance measures for upper gastrointestinal endoscopy:a European Society of Gastrointestinal Endoscopy(ESGE) Quality Improvement Initiative[J].Endoscopy2016, 48(9):843-864.
[11]
Gruner MDenis AMasliah C,et al.Narrow-band imaging versus Lugol chromoendoscopy for esophageal squamous cell cancer screening in normal endoscopic practice: randomized controlled trial[J].Endoscopy, 202153(7):674-682.
[12]
Nagami YTominaga KMachida H,et al.Usefulness of non-magnifying narrow-band imaging in screening of early esophageal squamous cell carcinoma:a prospective comparative study using propensity score matching[J].Am J Gastroenterol2014109(6):845-854.
[13]
曹长琦,李士杰,闫炎,等.内镜下窄带光谱成像技术联合碘染色检查对进展期食管癌的诊断价值[J].中华消化外科杂志201312(10): 770-773.
[14]
Kondo HFukuda HOno H,et al.Sodium thiosulfate solution spray for relief of irritation caused by Lugol′s stain in chromoendoscopy[J]. Gastrointest Endosc200153(2):199-202.
[15]
Jin DWang JZhan Q,et al.The safety and efficacy of 2% vitamin C solution spray for relief of mucosal irritation caused by Lugol chromoendoscopy:a multicenter,randomized,double-blind,parallel trial[J]. Gastrointest Endosc202092(3):554-564.
[16]
Guo QFan XZhu S,et al.Comparing N-acetylcysteine with sodium thiosulfate for relieving symptoms caused by Lugol′s iodine chromoendoscopy:a randomized,double-blind trial[J].Gastrointest Endosc, 202295(2):249-257.
[17]
Singh RLee SYVijay N,et al.Update on narrow band imaging in disorders of the upper gastrointestinal tract[J].Dig Endosc201426(2): 144-153.
[18]
张惠晶,周环,矫太伟,等.窄带成像技术与碘染色诊断早期食管癌及其癌前病变的对比研究[J].中华消化内镜杂志201633(1):33-36.
[19]
Yao K.Use of magnifying endoscopy with narrow-band imaging can change the clinical practice of screening endoscopy for early upper gastrointestinal neoplasia[J].Dig Endosc202234(5):1010-1011.
[20]
Sato HInoue HIkeda H,et al.Utility of intrapapillary capillary loops seen on magnifying narrow-band imaging in estimating invasive depth of esophageal squamous cell carcinoma[J].Endoscopy201547(2):122-128.
[21]
Dohi OYagi NYoshida S,et al.Magnifying Blue Laser Imaging versus Magnifying Narrow-Band Imaging for the Diagnosis of Early Gastric Cancer:A Prospective,Multicenter,Comparative Study[J].Digestion2017, 96(3):127-134.
[22]
Hatta WKoike TOgata Y,et al.Comparison of Magnifying Endoscopy with Blue Light Imaging and Narrow Band Imaging for Determining the Invasion Depth of Superficial Esophageal Squamous Cell Carcinoma by the Japanese Esophageal Society′s Intrapapillary Capillary Loop Classification[J].Diagnostics (Basel)202111(11):1941-1952.
[23]
Ueda TDohi ONaito Y,et al.Diagnostic performance of magnifying blue laser imaging versus magnifying narrow-band imaging for identifying the depth of invasion of superficial esophageal squamous cell carcinoma [J].Dis Esophagus202134(3):1-8.
[24]
Kanzaki HTakenaka RKawahara Y,et al.Linked color imaging (LCI),a novel image-enhanced endoscopy technology,emphasizes the color of early gastric cancer[J].Endosc Int Open20175(10):E1005-1013.
[25]
Ono SKawada KDohi O,et al.Linked Color Imaging Focused on Neoplasm Detection in the Upper Gastrointestinal Tract:A Randomized Trial[J].Ann Intern Med2021174(1):18-24.
[26]
Nakamura KUrabe YOka S,et al.Usefulness of linked color imaging in the early detection of superficial esophageal squamous cell carcinomas [J].Esophagus202118(1):118-124.
[27]
Kobayashi KMiyahara RFunasaka K,et al.Color information from linked color imaging is associated with invasion depth and vascular diameter in superficial esophageal squamous cell carcinoma[J].Dig Endosc, 202032(1):65-73.
[28]
林吟,邹东东,吴以龙,等.亮蓝光成像与联动成像在早期食管癌内镜诊断中的应用价值[J].中华消化内镜杂志202239(1):65-70.
[29]
卢秀珊,张梅,梁达强,等.I-scan成像技术与碘染色对Barrett食管诊断价值和对比分析[J].中国医药科学20177(21):177-180.
[30]
荣德钊,李娜,郑权,等.I-Scan电子染色检查对早期食管癌及癌前病变的诊断价值[J].中国医药科学202212(5):173-175,193.
[31]
王立梅,刘晗.光学增强内镜(OE)对胃肠上皮化生准确性研究[J].中国医疗器械信息202228(11):38-40.
[32]
逯越.放大光学增强内镜下Sano分型与普通高清白光内镜在直肠肿瘤性病变/息肉鉴别诊断中的应用[J].实用医药杂志202037(6): 518-520.
[33]
Inoue M, Miyake Y, Odaka T,et al.Objective evaluation of visibility in virtual chromoendoscopy for esophageal squamous carcinoma using a color difference formula[J].J Bio Optics201015(5):056019.
[34]
孙文美.FICE和BLI技术在食管早癌及癌前病变中的应用价值[D].青岛大学,2020.
[35]
黄耀奎,林燕娟,王小忠.开立内镜联合京都胃炎分类在胃幽门螺杆菌诊断中的应用效果分析[J].中国内镜杂志202329(5):43-51.
[36]
岳倩茹,林芳.国产内镜新光学染色技术对直径小于2 cm结直肠息肉病变的临床应用价值[J].世界华人消化杂志202331(8):340-346.
No related articles found!
阅读次数
全文


摘要