ISSN: 1859 - 2872
The value of magnifying endoscopy with narrow-band imaging for di-agnosis of high-grade dysplasia lesion and early gastric cancer
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Abstract
Objective: To evaluate the value of magnifying endoscopy with narrow-band imaging endoscopy (ME-NBI) for diagnosis of high-grade dysplasia lesions and early gastric cancer. Subject and method: A cross-sectional descriptive study on 104 patients with gastric lesions suspected of high-grade dysplasia and early cancer, who underwent endoscopic examination with white light and ME-NBI and histopathology in 108 Military Central Hospital, from January 2022 to January 2025. Result: ME-NBI endoscopy showed that the group of patients with high-grade dysplasia and early cancer had 100% of lesions with demarcation line, 91.5% of the lesions were irregular microvascular/ microtubule structures. Value of ME-NBI method: Sensitivity reached 91.5%, specificity reached 94.7%, accuracy reached 93.3%, positive predictive value reached 93.5% and negative predictive value reached 93.1%. Conclusion: ME-NBI endoscopy is valuable for diagnosing high-grade dysplasia lesions and early gastric cancer.
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References
2. Liên chi hội Nội soi tiêu hóa Việt Nam (2024) Hướng dẫn chẩn đoán ung thư đường tiêu hóa trên.
3. Muto M, Yao K, Kaise M (2016) Magnifying endoscopy simple diagnostic algorithm for early gastric cancer (MESDA-G). Digestive endoscopy: Official journal of the Japan Gastroenterological Endoscopy Society 28(4): 379–393.
4. Paris Workshop Participants (2003) The Paris endoscopic classification of superficial neoplastic lesions: Esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointestinal endoscopy 58(6): 1-43.
5. Toyoshima O, Nishizawa T (2022) Kyoto classification of gastritis: Advances and future perspectives in endoscopic diagnosis of gastritis. World J Gastroenterol 28(43): 6078-6089.
6. Dixon MF (2002) Gastrointestinal epithelial neoplasia: Vienna revisited. Gut 51(1): 130-131.
7. Hà Phương, Nguyễn Công Long, Nguyễn Thị Vân Hồng (2024) Đánh giá kết quả nội soi ánh sáng bli kết hợp phóng đại trong chẩn đoán tổn thương loạn sản dạ dày. Tạp chí Y học Việt Nam 533(2), tr. 17-25.
8. Nguyễn Thế Phương, Nguyễn Công Long, Vũ Trường Khanh (2022) Nhận xét hiệu quả kỹ thuật cắt tách dưới niêm mạc qua nội soi điều trị tổn thương loạn sản dạ dày độ cao và ung thư dạ dày sớm. Tạp chí Y học Việt Nam 533(2), tr. 169-175.
9. Thái Văn Dũng, Nguyễn Cảnh Bình, Thái Doãn Kỳ, Phạm Minh Ngọc Quang (2022) Đánh giá kết quả bước đầu điều trị tổn thương loạn sản và ung thư dạ dày sớm bằng phương pháp cắt tách hạ niêm mạc qua nội soi. Tạp chí Y học Việt Nam 520(1A), tr. 40-48.
10. Yu H, Yang AM, Lu XH, Zhou WX, Yao F, Fei GJ, Guo T, Yao LQ, He LP, Wang BM (2015) Magnifying narrow-band imaging endoscopy is superior in diagnosis of early gastric cancer. World J Gastroenterol 21(30): 9156-9162.