INTESTINE Vol.24 No.4(2-2)

Theme Master the magnifying endoscopy for colorectal neoplasms
Title Diagnosis of colorectal lesions using narrow-band imaging endoscopy
Publish Date 2020/11
Author Fumihiro Inoue Gastrointestinal Center & Institute of Minimallyinvasive Endoscopic Care (i-MEC), Sano Hospital
Author Daizen Hirata Gastrointestinal Center & Institute of Minimallyinvasive Endoscopic Care (i-MEC), Sano Hospital
Author Mineo Iwatate Gastrointestinal Center & Institute of Minimallyinvasive Endoscopic Care (i-MEC), Sano Hospital
Author Santa Hattori Gastrointestinal Center & Institute of Minimallyinvasive Endoscopic Care (i-MEC), Sano Hospital
Author Mikio Fujita Gastrointestinal Center & Institute of Minimallyinvasive Endoscopic Care (i-MEC), Sano Hospital
Author Wataru Sano Gastrointestinal Center & Institute of Minimallyinvasive Endoscopic Care (i-MEC), Sano Hospital
Author Yasushi Sano Gastrointestinal Center & Institute of Minimallyinvasive Endoscopic Care (i-MEC), Sano Hospital
[ Summary ] According to the guidelines outlined for the treatment of colorectal tumors, narrow-band imaging (NBI) observation plays a central role in endoscopic diagnosis of colorectal lesions and enables simple diagnosis. Several classifications of magnifying NBI have been proposed since the Sano classification. All classifications have been unified into the Japan Narrow-Band Imaging Expert Team (JNE) classification that is widely used in clinical practice. NBI is a simple technique, and magnifying endoscopy performed with NBI can be useful for initial "screening." However, all lesions cannot be diagnosed based on only the JNET classification; magnifying chromoendoscopy is necessary for accurate diagnosis and optimal treatment of lesions that are diagnostically challenging for or JNET Type 2B lesions.
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