0000000000991717

AUTHOR

Pedro Pimentel-nunes

showing 2 related works from this author

Management of epithelial precancerous conditions and lesions in the stomach (MAPS II): European Society of Gastrointestinal Endoscopy (ESGE), Europea…

2019

Main RecommendationsPatients with chronic atrophic gastritis or intestinal metaplasia (IM) are at risk for gastric adenocarcinoma. This underscores the importance of diagnosis and risk stratification for these patients. High definition endoscopy with chromoendoscopy (CE) is better than high definition white-light endoscopy alone for this purpose. Virtual CE can guide biopsies for staging atrophic and metaplastic changes and can target neoplastic lesions. Biopsies should be taken from at least two topographic sites (antrum and corpus) and labelled in two separate vials. For patients with mild to moderate atrophy restricted to the antrum there is no evidence to recommend surveillance. In pati…

Gastritis Atrophicmedicine.medical_specialtyAtrophic gastritisBiopsyChronic gastritisgastroenterologyGastroenterologyRisk AssessmentEndoscopy GastrointestinalChromoendoscopyHelicobacter Infections03 medical and health sciences0302 clinical medicineStomach Neoplasmsgastroenterology; precancerous conditions; stomach; gastric cancerInternal medicinemedicineHumansprecancerous conditionsMetaplasiamedicine.diagnostic_testbusiness.industryStomachgastric cancerIntestinal metaplasiamedicine.diseaseEndoscopyPatient Care ManagementEuropemedicine.anatomical_structureDysplasia030220 oncology & carcinogenesis030211 gastroenterology & hepatologyGastritismedicine.symptombusinessstomach
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Systematic review of the diagnosis of gastric premalignant conditions and neoplasia with high-resolution endoscopic technologies

2013

Aim. The aim of the article is to systematically review the current evidence on the diagnostic use of narrow band imaging (NBI), flexible spectral imaging color enhancement (FICE) and endoscopic image enhancement technology i-scan endoscopies for gastric precancerous and cancerous lesions. Materials and methods. Original manuscripts were searched in PubMed until October 2012. Pertinent data were collected and pooled diagnostic accuracy measures were estimated when possible. Results. In total, 38 studies were evaluated. Thirty-one studies were included for NBI and 7 studies for FICE assessment in this systematic review. No article was found meeting inclusion criteria for i-scan endoscopy. Th…

medicine.medical_specialtyHigh resolutionAdenocarcinomaSensitivity and SpecificityGastroenterologyNarrow Band ImagingStomach NeoplasmsInternal medicineGastroscopymedicineHumansObserver VariationModels StatisticalNarrow-band imagingmedicine.diagnostic_testbusiness.industryGastroenterologyReproducibility of ResultsIntestinal metaplasiaImage Enhancementmedicine.diseaseEndoscopyGastric MucosaDysplasiaColor enhancementDiagnostic odds ratioRadiologybusinessPrecancerous ConditionsEndoscopic imageScandinavian Journal of Gastroenterology
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