Research progress in the early diagnosis of esophageal cancer by chromoendoscopy

doi:10.3877/cma.j.issn.2095-7157.2024.02.011

Abstract

Abstract:

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.

Key words: Chromoendoscopy, Lugol chromoendoscopy, Electron endoscopy, Early esophageal squamous cell cancer

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.

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References 36

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成像模式	优点	缺点
NBI	(1)可清晰识别黏膜表面异常的IPLC；(2)黏膜棕褐色背景提示肿瘤性病变可能；(3)病变边界显示清晰	光线暗，远距离观察受限；镜下视野与WLI差异较大，一般作为WLI的辅助模式
BLI	(1)镜下与NBI类似，可识别黏膜表面异常的IPLC；(2)黏膜棕褐色背景提示肿瘤性病变；(3)相比NBI，图像明亮度增加，提高了中远景病变的识别能力以及对病变范围的判断能力	镜下视野与WLI差异较大，一般作为WLI的辅助模式
LCI	(1)镜下视野与WLI类似，但更强调黏膜红白色调，使红色更红，白色更白；(2)可识别黏膜表面异常的IPLC；(3)相比NBI，图像明亮度增加，提高了中远景病变的识别能力	无棕色背景征，对病变范围的判断能力有限

成像模式	优点	缺点
NBI	(1)可清晰识别黏膜表面异常的IPLC；(2)黏膜棕褐色背景提示肿瘤性病变可能；(3)病变边界显示清晰	光线暗，远距离观察受限；镜下视野与WLI差异较大，一般作为WLI的辅助模式
BLI	(1)镜下与NBI类似，可识别黏膜表面异常的IPLC；(2)黏膜棕褐色背景提示肿瘤性病变；(3)相比NBI，图像明亮度增加，提高了中远景病变的识别能力以及对病变范围的判断能力	镜下视野与WLI差异较大，一般作为WLI的辅助模式
LCI	(1)镜下视野与WLI类似，但更强调黏膜红白色调，使红色更红，白色更白；(2)可识别黏膜表面异常的IPLC；(3)相比NBI，图像明亮度增加，提高了中远景病变的识别能力	无棕色背景征，对病变范围的判断能力有限

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