Does High-Resolution Endoscopy with NBI Improve BE Surveillance?

In a single-center study, high-resolution endoscopy with narrow-band imaging and targeted biopsies was more effective and efficient than was standard endoscopy with random biopsies.

Standard-resolution endoscopy typically is used for surveillance in patients with Barrett esophagus, but this technique often fails to identify early dysplastic or neoplastic changes. To compensate for this limitation, gastroenterologists often perform multiple random biopsies during the procedure. In the present study, researchers evaluated an alternative approach: using high-resolution endoscopy with narrow-band imaging (NBI) to identify potential areas of neoplasia and dysplasia and to direct targeted biopsies of those areas.

This study at a tertiary care center involved 65 patients with BE and previously detected dysplasia. Each patient underwent standard endoscopy, followed by high-resolution endoscopy with NBI; the two procedures were …

Reviewing Author

David A. Johnson, MD

Disclosures

Consultant/Advisory boardMedscape/WebMD; Pfizer; CRH Medical Corporation; Aries

EquityCRH Medical Corporation

Editorial boardsMedscape Gastroenterology

Leadership positions in professional societiesAmerican College of Gastroenterology Research Institute Board of Directors

David A. Johnson, MD

Disclosures

Consultant/Advisory boardMedscape/WebMD; Pfizer; CRH Medical Corporation; Aries

EquityCRH Medical Corporation

Editorial boardsMedscape Gastroenterology

Leadership positions in professional societiesAmerican College of Gastroenterology Research Institute Board of Directors