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Advanced endoscopic imaging in gastric neoplasia and preneoplasia
  1. Jonathan W J Lee1,
  2. Lee Guan Lim2,
  3. Khay Guan Yeoh1,3,
  4. part of the Singapore Gastric Cancer Consortium
  1. 1Department of Gastroenterology and Hepatology, National University Hospital, Singapore
  2. 2Department of Internal Medicine, Raffles Hospital, Singapore
  3. 3Department of Medicine, National University of Singapore, Singapore
  1. Correspondence to Dr Khay Guan Yeoh; mdcykg{at}nus.edu.sg

Abstract

Conventional white light endoscopy remains the current standard in routine clinical practice for early detection of gastric cancer. However, it may not accurately diagnose preneoplastic gastric lesions. The technological advancements in the field of endoscopic imaging for gastric lesions are fast growing. This article reviews currently available advanced endoscopic imaging modalities, in particular chromoendoscopy, narrow band imaging and confocal laser endomicroscopy, and their corresponding evidence shown to improve diagnosis of preneoplastic gastric lesions. Raman spectrometry and polarimetry are also introduced as promising emerging technologies.

  • ENDOSCOPY
  • LASER
  • GASTROINTESTINAL NEOPLASIA

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