Beyond Standard Image-enhanced Endoscopy Confocal Endomicroscopy

Slides:

Advertisements

Similar presentations

(A) Surveillance colonoscopies for detecting dysplasia and preventing colorectal carcinoma. (B) Management of visible lesions at endoscopy. A visible lesion.

Advertisements

Endomicroscopy is born—do we still need the pathologist?

In Vivo Histology of Barrett’s Esophagus and Associated Neoplasia by Confocal Laser Endomicroscopy Ralf Kiesslich, Liebwin Gossner, Martin Goetz, Alexandra.

Matthew D. Rutter, Robert H. Riddell

Endoscopic Confocal Imaging

Volume 127, Issue 3, Pages (September 2004)

Optical biopsy: A new frontier in endoscopic detection and diagnosis

Confocal Endomicroscopy in Ulcerative Colitis: Differentiating Dysplasia-Associated Lesional Mass and Adenoma-Like Mass David P. Hurlstone, Mike Thomson,

In Vivo Histology of Barrett’s Esophagus and Associated Neoplasia by Confocal Laser Endomicroscopy Ralf Kiesslich, Liebwin Gossner, Martin Goetz, Alexandra.

A standardized imaging protocol for the endoscopic prediction of dysplasia within sessile serrated polyps (with video) David J. Tate, MA(Cantab), MBBS,

Endoscopic submucosal dissection for nonpolypoid colorectal dysplasia in patients with inflammatory bowel disease: in medias res Roy Soetikno, MD, MS,

American Gastroenterological Association (AGA) Institute Technology Assessment on Image-Enhanced Endoscopy Tonya Kaltenbach, Yasushi Sano, Shai Friedland,

Figure 1 Imaging of a depressed intramucosal carcinoma

Surveillance of Dysplasia in Inflammatory Bowel Disease: The Gastroenterologist- Pathologist Partnership David T. Rubin, Jerrold R. Turner Clinical Gastroenterology.

Optical biopsy: A new frontier in endoscopic detection and diagnosis

Volume 127, Issue 3, Pages (September 2004)

Anti–tumor necrosis factor monoclonal antibody therapy for gastrointestinal Behçet's disease: A case report Philip V. Hassard, Scott W. Binder, Viera.

Volume 134, Issue 3, Pages (March 2008)

Volume 151, Issue 6, Pages (December 2016)

Outcome analysis in Crohn’s disease using endomicroscopy: How important and reliable is in vivo analysis of microscopic changes? Ralf Kiesslich, MD,

Virtual Histology in Everyday Gastrointestinal Endoscopy

Novel Colonoscopic Imaging

Volume 136, Issue 4, Pages (April 2009)

Volume 124, Issue 4, Pages (April 2003)

Steven H Itzkowitz, Noam Harpaz Gastroenterology

Optical Contrast Endoscopy: Is It Ready for Routine Use?

Investigating endoscopic features of sessile serrated adenomas/polyps by using narrow- band imaging with optical magnification Masayoshi Yamada, MD, PhD,

Nonpolypoid (Flat and Depressed) Colorectal Neoplasms

Diagnosing Helicobacter pylori In Vivo by Confocal Laser Endoscopy

Endoscopic Mucosal Resection in the Management of Esophageal Neoplasia: Current Status and Future Directions Vikneswaran Namasivayam, Kenneth K. Wang,

Clinical Evaluation of Endoscopic Trimodal Imaging for the Detection and Differentiation of Colonic Polyps Frank J.C. van den Broek, Paul Fockens, Susanne.

Interval Colorectal Cancers in Inflammatory Bowel Disease

Ampullary Pyloric Gland Adenoma with High-grade Dysplasia (Video)

Molecular Imaging in Gastrointestinal Endoscopy

Advances in Endoscopic Imaging of Colorectal Neoplasia

Endoscopic Management of Nonpolypoid Colorectal Lesions in Colonic IBD

The emerging role of histologic disease activity assessment in ulcerative colitis Rish K. Pai, MD, PhD, Vipul Jairath, MD, PhD, Niels Vande Casteele,

This month in Gastroenterology

Volume 140, Issue 7, Pages (June 2011)

Endoscopic Confocal Imaging

Matthew D. Rutter, Robert H. Riddell

Wide-area transepithelial sampling with 3-dimensional cytology: Does it detect more dysplasia or yield more hype? Marcia Irene Canto, MD, MHS Gastrointestinal.

How we resect colorectal polyps <20 mm in size

A “resect and watch” strategy with endoscopic resection for pharyngeal cancer with massive subepithelial invasion would not be rational Yuichi Shimizu,

Helmut Neumann, Ralf Kiesslich, Michael B. Wallace, Markus F. Neurath

Polypectomy may be adequate treatment for adenoma-like dysplastic lesions in chronic ulcerative colitis Marc Engelsgjerd*, Francis A. Farraye‡,§, Robert.

Volume 135, Issue 2, Pages (August 2008)

Volume 3, Issue 12, Pages (December 2018)

Tonya Kaltenbach, MD, William J. Sandborn, MD

Eugene B. Chang Gastroenterology Volume 124, Issue 4, (April 2003)

Acetic-acid chromoendoscopy for Barrett's esophagus: the “pros”

Diagnosis of Colitis: Making the Initial Diagnosis

Colorectal cancer screening: Recommendations for physicians and patients from the U.S. Multi-Society Task Force on Colorectal Cancer Douglas K. Rex,

Endoscopic Management of Nonpolypoid Colorectal Lesions in Colonic IBD

Volume 3, Issue 12, Pages (December 2018)

Volume 129, Issue 1, Pages (July 2005)

AGA Technical Review on the Diagnosis and Management of Colorectal Neoplasia in Inflammatory Bowel Disease Francis A. Farraye, Robert D. Odze, Jayne.

Endoscopic Mucosal Resection vs Endoscopic Submucosal Dissection For Barrett’s Esophagus and Colorectal Neoplasia Dennis Yang, Mohamed Othman, Peter.

Detection of Nonpolypoid Colorectal Neoplasia Using Magnifying Endoscopy in Colonic Inflammatory Bowel Disease Shiro Oka, MD, PhD, Shinji Tanaka, MD,

Nasim Parsa, MD, Douglas K. Rex, MD VideoGIE

Preface Gastrointestinal Endoscopy Clinics

Much ado about very little (lamina propria)?

Volume 132, Issue 3, Pages (March 2007)

Chromoendoscopy and Magnifying Endoscopy for Barrett’s Esophagus

In Vivo Diagnosis and Classification of Colorectal Neoplasia by Chromoendoscopy- Guided Confocal Laser Endomicroscopy Silvia Sanduleanu, Ann Driessen,

Endoscopic resection is the criterion standard of treatment for patients with early squamous cell neoplasia of the esophagus Yuichi Shimizu, MD, Masakazu.

Endoscopic band ligation of colonic bleeding

Neil O'Morain, Ammar Shahin, Barbara Ryan, Deirdre McNamara

Interventional chromoendoscopy: specific aspects for the colon

Volume 4, Issue 7, Pages (July 2019)

Presentation transcript:

Beyond Standard Image-enhanced Endoscopy Confocal Endomicroscopy Daniel Teubner, MD, Ralf Kiesslich, MD, Takayuki Matsumoto, MD, Johannes W. Rey, MD, Arthur Hoffman, MD Gastrointestinal Endoscopy Clinics Volume 24, Issue 3, Pages 427-434 (July 2014) DOI: 10.1016/j.giec.2014.03.012 Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 1 Chromoendoscopy of colorectal lesions. (A) A polypoid lesion can be identified in the ascending colon of a 64-year-old patient who has had ulcerative colitis for 34 years. (B) Chromoendoscopy with methylene blue (0.1%) clarifies the mucosal pattern (pit pattern IIIL, arrow), which predicts tubular adenoma. Endoscopic resection was performed and final histology confirmed adenoma with low-grade intraepithelial neoplasia. (C) A sessile lesion can also be identified. A wide cryptal opening is seen (pit pattern II) using magnification and chromoendoscopy (D). Hyperplastic changes (nonneoplastic) could be confirmed histologically. Gastrointestinal Endoscopy Clinics 2014 24, 427-434DOI: (10.1016/j.giec.2014.03.012) Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 2 Colitis-associated dysplasia. (A) A flat lesion is visible using white light high-definition colonoscopy. (B) Chromoendoscopy with methylene blue (0.1%) clarifies the borders and surface architecture. An irregular pattern with shallow depression (type IIc, pit pattern V) can be identified (arrow and magnified view [C]). Endoscopic resection revealed colitis-associated early cancer (shallow infiltration of the submucosal layer). Gastrointestinal Endoscopy Clinics 2014 24, 427-434DOI: (10.1016/j.giec.2014.03.012) Copyright © 2014 Elsevier Inc. Terms and Conditions

Fig. 3 Endomicroscopy in IBD. (A) Normal colonic mucosa with regular crypt (arrow) architecture can be seen. (B) Inflammatory cells can be identified within the lamina propria and are a sign of chronic inflammatory changes. (C) Inflammatory changes and dysplastic crypts (arrow) can be seen. The basement membrane is intact. Targeted biopsies confirmed the presence of low-grade intraepithelial neoplasia (colitis-associated dysplasia). (D) Colitis-associated cancer is present. Distorted glands with infiltration of malignant cells into the lamina propria (arrow) can be identified. Gastrointestinal Endoscopy Clinics 2014 24, 427-434DOI: (10.1016/j.giec.2014.03.012) Copyright © 2014 Elsevier Inc. Terms and Conditions