Image-Enhanced Endoscopy and Its Corresponding Histopathology in the Stomach
- Author:
Hisashi DOYAMA
1
;
Hiroyoshi NAKANISHI
;
Kenshi YAO
Author Information
- Publication Type:Review Article
- From:Gut and Liver 2021;15(3):329-337
- CountryRepublic of Korea
- Language:English
- Abstract: In recent years, the technological innovation and progress of endoscopic equipment have been remarkable, and various endoscopic observation techniques have been developed. Among them, representative techniques are magnified observation and narrow-band imaging. Magnifying endoscopy with narrow-band imaging (M-NBI) can visualize superficial microanatomies in the stomach. The normal morphology of the microanatomy visualized using M-NBI differs according to the part of the stomach. The vessel plus surface (VS) classification system has been developed as a diagnostic criterion for early gastric cancer using M-NBI, and its usefulness has been proven. Based on the VS classification system, a magnifying endoscopy simple diagnostic algorithm for early gastric cancer (MESDA-G), a simplified algorithm used for early gastric cancer diagnosis, was created. We aimed to describe the anatomic structure of the stomach that can be viewed using M-NBI and outline the principles and clinical application of the VS classification system and MESDA-G.
