Department of Gastroenterology, Sao Joao Hospital, Porto, Portugal.
J Crohns Colitis. 2011 Feb;5(1):54-6. doi: 10.1016/j.crohns.2010.08.005. Epub 2010 Sep 18.
One of the contemporary challenges gastroenterologists face is cancer screening and surveillance in long-term colitis patients. The search for a consensually practical and effective method to routinely detect dysplastic mucosa persists. In recent years, publications demonstrating the applicability of narrow band imaging (NBI) in this setting have sparked further research. We present a case report where NBI with magnification played a fundamental role in the detection of dysplasia in an ulcerative colitis patient. This case reinforces the potential widespread applicability of NBI as a surveillance tool in distinguishing dysplastic from nondysplastic colorectal lesions in ulcerative colitis.
目前,胃肠病学家面临的挑战之一是对长期结肠炎患者进行癌症筛查和监测。人们一直在寻找一种共识性的实用且有效的方法,以便常规检测异型增生黏膜。近年来,一些出版物表明窄带成像(NBI)在这种情况下具有适用性,这进一步激发了相关研究。我们报告了一个病例,在该病例中,放大后的 NBI 在溃疡性结肠炎患者异型增生的检测中发挥了重要作用。该病例进一步证实了 NBI 作为监测工具在溃疡性结肠炎中区分异型增生和非异型增生结直肠病变的广泛适用性。