Image-enhanced endoscopy in the diagnosis of gastric premalignant conditions and gastric cancer

Although the incidence of gastric cancer in Spain is low (5.8 cases per 100,000 population), the mortality rate is high, due in part to the fact that it is usually detected late.1

The lack of sufficient precision with use of white light endoscopy and non-targeted biopsies to diagnose the spectrum of malignant and premalignant gastric lesions prompted the development of new techniques, resulting in significant advances in recent years.

Detecting gastric cancer precursor lesions (GCPL) makes it possible to identify patients who require closer follow-up, given their higher likelihood of developing early gastric cancer (EGC).

Improved detection of EGC during upper gastrointestinal endoscopy enables more conservative endoscopic treatments to be carried out, with cure rates comparable to those obtained with surgery.

This narrative review summarises the available evidence on endoscopic diagnosis and the use of auxiliary techniques which improve its performance, such as conventional and digital chromoendoscopy and magnifying endoscopy.

留言 (0)

沒有登入
gif