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Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma

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Zeitschriftentitel: Digestive Endoscopy
Personen und Körperschaften: Kanesaka, Takashi, Sekikawa, Akira, Tsumura, Takehiko, Maruo, Takanori, Osaki, Yukio, Wakasa, Tomoko, Shintaku, Masayuki, Yao, Kenshi
In: Digestive Endoscopy, 26, 2014, 1, S. 57-62
Medientyp: E-Article
Sprache: Englisch
veröffentlicht:
Wiley
Schlagwörter:
author_facet Kanesaka, Takashi
Sekikawa, Akira
Tsumura, Takehiko
Maruo, Takanori
Osaki, Yukio
Wakasa, Tomoko
Shintaku, Masayuki
Yao, Kenshi
Kanesaka, Takashi
Sekikawa, Akira
Tsumura, Takehiko
Maruo, Takanori
Osaki, Yukio
Wakasa, Tomoko
Shintaku, Masayuki
Yao, Kenshi
author Kanesaka, Takashi
Sekikawa, Akira
Tsumura, Takehiko
Maruo, Takanori
Osaki, Yukio
Wakasa, Tomoko
Shintaku, Masayuki
Yao, Kenshi
spellingShingle Kanesaka, Takashi
Sekikawa, Akira
Tsumura, Takehiko
Maruo, Takanori
Osaki, Yukio
Wakasa, Tomoko
Shintaku, Masayuki
Yao, Kenshi
Digestive Endoscopy
Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
Gastroenterology
Radiology, Nuclear Medicine and imaging
author_sort kanesaka, takashi
spelling Kanesaka, Takashi Sekikawa, Akira Tsumura, Takehiko Maruo, Takanori Osaki, Yukio Wakasa, Tomoko Shintaku, Masayuki Yao, Kenshi 0915-5635 1443-1661 Wiley Gastroenterology Radiology, Nuclear Medicine and imaging http://dx.doi.org/10.1111/den.12076 <jats:sec><jats:title>Background</jats:title><jats:p>Magnifying endoscopy with narrow‐band imaging (<jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content>) can visualize crypt openings (<jats:styled-content style="fixed-case">CO</jats:styled-content>) as slit‐like structures in gastric epithelial neoplasia. Visualization of numerous <jats:styled-content style="fixed-case">CO</jats:styled-content> is characteristic of low‐grade adenoma (<jats:styled-content style="fixed-case">LGA</jats:styled-content>). The aim of the present study was to investigate whether visualization of <jats:styled-content style="fixed-case">CO</jats:styled-content> by <jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content> is useful for discriminating between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and early gastric cancer (<jats:styled-content style="fixed-case">EGC</jats:styled-content>).</jats:p></jats:sec><jats:sec><jats:title>Patients and Methods</jats:title><jats:p>Fifty‐one superficial elevated‐type gastric neoplasias (10 <jats:styled-content style="fixed-case">LGA</jats:styled-content> and 41 <jats:styled-content style="fixed-case">EGC</jats:styled-content>) were retrospectively evaluated. The presence of <jats:styled-content style="fixed-case">CO</jats:styled-content> and the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> were evaluated in endoscopic photos obtained at high‐power endoscopic magnification by <jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content>. The optimal cut‐off value for the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized to discriminate between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and <jats:styled-content style="fixed-case">EGC</jats:styled-content> was determined by receiver operating characteristic curve analysis.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The mean number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized was significantly larger in the <jats:styled-content style="fixed-case">LGA</jats:styled-content> group than in the <jats:styled-content style="fixed-case">EGC</jats:styled-content> group (31.2, 95% confidence interval [<jats:styled-content style="fixed-case">CI</jats:styled-content>] 16.3–46.1 <jats:italic>vs</jats:italic> 6.3, 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 3.6–9.0; <jats:italic>P</jats:italic> &lt; 0.001). When the cut‐off for the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized was set at 20, the sensitivity, specificity, and accuracy of dense‐type <jats:styled-content style="fixed-case">CO</jats:styled-content> for discriminating between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and <jats:styled-content style="fixed-case">EGC</jats:styled-content> were 90.0%, 87.8%, and 88.2%, respectively.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Determining the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized in superficial elevated‐type gastric neoplasias by <jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content> appears to be a useful method for discriminating between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and <jats:styled-content style="fixed-case">EGC</jats:styled-content>.</jats:p></jats:sec> Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma Digestive Endoscopy
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series Digestive Endoscopy
source_id 49
title Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
title_unstemmed Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
title_full Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
title_fullStr Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
title_full_unstemmed Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
title_short Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
title_sort dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
topic Gastroenterology
Radiology, Nuclear Medicine and imaging
url http://dx.doi.org/10.1111/den.12076
publishDate 2014
physical 57-62
description <jats:sec><jats:title>Background</jats:title><jats:p>Magnifying endoscopy with narrow‐band imaging (<jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content>) can visualize crypt openings (<jats:styled-content style="fixed-case">CO</jats:styled-content>) as slit‐like structures in gastric epithelial neoplasia. Visualization of numerous <jats:styled-content style="fixed-case">CO</jats:styled-content> is characteristic of low‐grade adenoma (<jats:styled-content style="fixed-case">LGA</jats:styled-content>). The aim of the present study was to investigate whether visualization of <jats:styled-content style="fixed-case">CO</jats:styled-content> by <jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content> is useful for discriminating between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and early gastric cancer (<jats:styled-content style="fixed-case">EGC</jats:styled-content>).</jats:p></jats:sec><jats:sec><jats:title>Patients and Methods</jats:title><jats:p>Fifty‐one superficial elevated‐type gastric neoplasias (10 <jats:styled-content style="fixed-case">LGA</jats:styled-content> and 41 <jats:styled-content style="fixed-case">EGC</jats:styled-content>) were retrospectively evaluated. The presence of <jats:styled-content style="fixed-case">CO</jats:styled-content> and the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> were evaluated in endoscopic photos obtained at high‐power endoscopic magnification by <jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content>. The optimal cut‐off value for the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized to discriminate between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and <jats:styled-content style="fixed-case">EGC</jats:styled-content> was determined by receiver operating characteristic curve analysis.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The mean number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized was significantly larger in the <jats:styled-content style="fixed-case">LGA</jats:styled-content> group than in the <jats:styled-content style="fixed-case">EGC</jats:styled-content> group (31.2, 95% confidence interval [<jats:styled-content style="fixed-case">CI</jats:styled-content>] 16.3–46.1 <jats:italic>vs</jats:italic> 6.3, 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 3.6–9.0; <jats:italic>P</jats:italic> &lt; 0.001). When the cut‐off for the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized was set at 20, the sensitivity, specificity, and accuracy of dense‐type <jats:styled-content style="fixed-case">CO</jats:styled-content> for discriminating between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and <jats:styled-content style="fixed-case">EGC</jats:styled-content> were 90.0%, 87.8%, and 88.2%, respectively.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Determining the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized in superficial elevated‐type gastric neoplasias by <jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content> appears to be a useful method for discriminating between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and <jats:styled-content style="fixed-case">EGC</jats:styled-content>.</jats:p></jats:sec>
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author Kanesaka, Takashi, Sekikawa, Akira, Tsumura, Takehiko, Maruo, Takanori, Osaki, Yukio, Wakasa, Tomoko, Shintaku, Masayuki, Yao, Kenshi
author_facet Kanesaka, Takashi, Sekikawa, Akira, Tsumura, Takehiko, Maruo, Takanori, Osaki, Yukio, Wakasa, Tomoko, Shintaku, Masayuki, Yao, Kenshi, Kanesaka, Takashi, Sekikawa, Akira, Tsumura, Takehiko, Maruo, Takanori, Osaki, Yukio, Wakasa, Tomoko, Shintaku, Masayuki, Yao, Kenshi
author_sort kanesaka, takashi
container_issue 1
container_start_page 57
container_title Digestive Endoscopy
container_volume 26
description <jats:sec><jats:title>Background</jats:title><jats:p>Magnifying endoscopy with narrow‐band imaging (<jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content>) can visualize crypt openings (<jats:styled-content style="fixed-case">CO</jats:styled-content>) as slit‐like structures in gastric epithelial neoplasia. Visualization of numerous <jats:styled-content style="fixed-case">CO</jats:styled-content> is characteristic of low‐grade adenoma (<jats:styled-content style="fixed-case">LGA</jats:styled-content>). The aim of the present study was to investigate whether visualization of <jats:styled-content style="fixed-case">CO</jats:styled-content> by <jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content> is useful for discriminating between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and early gastric cancer (<jats:styled-content style="fixed-case">EGC</jats:styled-content>).</jats:p></jats:sec><jats:sec><jats:title>Patients and Methods</jats:title><jats:p>Fifty‐one superficial elevated‐type gastric neoplasias (10 <jats:styled-content style="fixed-case">LGA</jats:styled-content> and 41 <jats:styled-content style="fixed-case">EGC</jats:styled-content>) were retrospectively evaluated. The presence of <jats:styled-content style="fixed-case">CO</jats:styled-content> and the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> were evaluated in endoscopic photos obtained at high‐power endoscopic magnification by <jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content>. The optimal cut‐off value for the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized to discriminate between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and <jats:styled-content style="fixed-case">EGC</jats:styled-content> was determined by receiver operating characteristic curve analysis.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The mean number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized was significantly larger in the <jats:styled-content style="fixed-case">LGA</jats:styled-content> group than in the <jats:styled-content style="fixed-case">EGC</jats:styled-content> group (31.2, 95% confidence interval [<jats:styled-content style="fixed-case">CI</jats:styled-content>] 16.3–46.1 <jats:italic>vs</jats:italic> 6.3, 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 3.6–9.0; <jats:italic>P</jats:italic> &lt; 0.001). When the cut‐off for the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized was set at 20, the sensitivity, specificity, and accuracy of dense‐type <jats:styled-content style="fixed-case">CO</jats:styled-content> for discriminating between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and <jats:styled-content style="fixed-case">EGC</jats:styled-content> were 90.0%, 87.8%, and 88.2%, respectively.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Determining the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized in superficial elevated‐type gastric neoplasias by <jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content> appears to be a useful method for discriminating between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and <jats:styled-content style="fixed-case">EGC</jats:styled-content>.</jats:p></jats:sec>
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spelling Kanesaka, Takashi Sekikawa, Akira Tsumura, Takehiko Maruo, Takanori Osaki, Yukio Wakasa, Tomoko Shintaku, Masayuki Yao, Kenshi 0915-5635 1443-1661 Wiley Gastroenterology Radiology, Nuclear Medicine and imaging http://dx.doi.org/10.1111/den.12076 <jats:sec><jats:title>Background</jats:title><jats:p>Magnifying endoscopy with narrow‐band imaging (<jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content>) can visualize crypt openings (<jats:styled-content style="fixed-case">CO</jats:styled-content>) as slit‐like structures in gastric epithelial neoplasia. Visualization of numerous <jats:styled-content style="fixed-case">CO</jats:styled-content> is characteristic of low‐grade adenoma (<jats:styled-content style="fixed-case">LGA</jats:styled-content>). The aim of the present study was to investigate whether visualization of <jats:styled-content style="fixed-case">CO</jats:styled-content> by <jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content> is useful for discriminating between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and early gastric cancer (<jats:styled-content style="fixed-case">EGC</jats:styled-content>).</jats:p></jats:sec><jats:sec><jats:title>Patients and Methods</jats:title><jats:p>Fifty‐one superficial elevated‐type gastric neoplasias (10 <jats:styled-content style="fixed-case">LGA</jats:styled-content> and 41 <jats:styled-content style="fixed-case">EGC</jats:styled-content>) were retrospectively evaluated. The presence of <jats:styled-content style="fixed-case">CO</jats:styled-content> and the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> were evaluated in endoscopic photos obtained at high‐power endoscopic magnification by <jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content>. The optimal cut‐off value for the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized to discriminate between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and <jats:styled-content style="fixed-case">EGC</jats:styled-content> was determined by receiver operating characteristic curve analysis.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The mean number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized was significantly larger in the <jats:styled-content style="fixed-case">LGA</jats:styled-content> group than in the <jats:styled-content style="fixed-case">EGC</jats:styled-content> group (31.2, 95% confidence interval [<jats:styled-content style="fixed-case">CI</jats:styled-content>] 16.3–46.1 <jats:italic>vs</jats:italic> 6.3, 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 3.6–9.0; <jats:italic>P</jats:italic> &lt; 0.001). When the cut‐off for the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized was set at 20, the sensitivity, specificity, and accuracy of dense‐type <jats:styled-content style="fixed-case">CO</jats:styled-content> for discriminating between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and <jats:styled-content style="fixed-case">EGC</jats:styled-content> were 90.0%, 87.8%, and 88.2%, respectively.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Determining the number of <jats:styled-content style="fixed-case">CO</jats:styled-content> visualized in superficial elevated‐type gastric neoplasias by <jats:styled-content style="fixed-case">ME‐NBI</jats:styled-content> appears to be a useful method for discriminating between <jats:styled-content style="fixed-case">LGA</jats:styled-content> and <jats:styled-content style="fixed-case">EGC</jats:styled-content>.</jats:p></jats:sec> Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma Digestive Endoscopy
spellingShingle Kanesaka, Takashi, Sekikawa, Akira, Tsumura, Takehiko, Maruo, Takanori, Osaki, Yukio, Wakasa, Tomoko, Shintaku, Masayuki, Yao, Kenshi, Digestive Endoscopy, Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma, Gastroenterology, Radiology, Nuclear Medicine and imaging
title Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
title_full Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
title_fullStr Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
title_full_unstemmed Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
title_short Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
title_sort dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
title_unstemmed Dense‐type crypt opening seen on magnifying endoscopy with narrow‐band imaging is a feature of gastric adenoma
topic Gastroenterology, Radiology, Nuclear Medicine and imaging
url http://dx.doi.org/10.1111/den.12076