染色内镜在评估结直肠发育异常中的作用
The Role of Chromoendoscopy in Evaluating Colorectal Dysplasia.
作者信息
Buchner Anna M
机构信息
Dr Buchner is an assistant professor of medicine in the Division of Gastroenterology at the University of Pennsylvania in Philadelphia, Pennsylvania.
出版信息
Gastroenterol Hepatol (N Y). 2017 Jun;13(6):336-347.
Abstract
Chromoendoscopy pertains to image-enhanced endoscopic techniques such as dye-based chromoendoscopy and electronic chromoendoscopy using narrow-band imaging, flexible spectral imaging color enhancement, and i-scan. Dye-based chromoendoscopy has been demonstrated to improve colorectal dysplasia detection in high-risk patients with long-term inflammatory bowel disease, and electronic chromoendoscopy techniques have been shown to improve characterization of diminutive colorectal lesions, allowing for optical diagnosis during a colonoscopy examination. This article reviews endoscopic imaging using chromoendoscopy techniques for colorectal dysplasia evaluation.
摘要
色素内镜检查属于图像增强内镜技术，如基于染料的色素内镜检查以及使用窄带成像、灵活光谱成像颜色增强和i-scan的电子色素内镜检查。基于染料的色素内镜检查已被证明可提高长期炎症性肠病高危患者结直肠发育异常的检测率，电子色素内镜检查技术已被证明可改善微小结直肠病变的特征描述，从而在结肠镜检查期间进行光学诊断。本文综述了使用色素内镜检查技术进行结直肠发育异常评估的内镜成像。
相似文献
1
The Role of Chromoendoscopy in Evaluating Colorectal Dysplasia.染色内镜在评估结直肠发育异常中的作用
Gastroenterol Hepatol (N Y). 2017 Jun;13(6):336-347.
2
Review article: newer optical and digital chromoendoscopy techniques vs. dye-based chromoendoscopy for diagnosis and surveillance in inflammatory bowel disease.综述文章：新型光学和数字 chromoendoscopy 技术与基于染料的 chromoendoscopy 在炎症性肠病的诊断和监测中的比较。
Aliment Pharmacol Ther. 2013 Nov;38(10):1198-208. doi: 10.1111/apt.12508. Epub 2013 Oct 3.
3
Virtual chromoendoscopy for the real-time assessment of colorectal polyps in vivo: a systematic review and economic evaluation.虚拟染色内镜实时评估活体结直肠息肉：系统评价和经济评估。
Health Technol Assess. 2017 Dec;21(79):1-308. doi: 10.3310/hta21790.
4
Chromoendoscopy, narrow-band imaging colonoscopy, and autofluorescence colonoscopy for detection of diminutive colorectal neoplasia in familial adenomatous polyposis.色素内镜检查、窄带成像结肠镜检查及自体荧光结肠镜检查在家族性腺瘤性息肉病中检测微小结直肠肿瘤的应用
Dis Colon Rectum. 2009 Jun;52(6):1160-5. doi: 10.1007/DCR.0b013e31819ef6fe.
5
New endoscopic imaging techniques in surveillance of inflammatory bowel disease.炎症性肠病监测中的新型内镜成像技术
World J Gastrointest Endosc. 2015 Mar 16;7(3):230-6. doi: 10.4253/wjge.v7.i3.230.
6
Electronic Imaging in Colonoscopy: Clinical Applications and Future Prospects.结肠镜检查中的电子成像：临床应用与未来前景
Curr Treat Options Gastroenterol. 2016 Mar;14(1):140-51. doi: 10.1007/s11938-016-0075-1.
7
Concordance of Dye-Spraying Chromoendoscopy and Virtual Chromoendoscopy for Colonic Dysplasia Detection in Longstanding Inflammatory Bowel Disease.染料喷洒染色内镜与虚拟染色内镜对长期炎症性肠病患者结直肠异型增生检测的一致性。
Turk J Gastroenterol. 2023 Nov;34(11):1150-1155. doi: 10.5152/tjg.2023.22766.
8
Optimizing the quality of endoscopy in inflammatory bowel disease: focus on surveillance and management of colorectal dysplasia using interactive image- and video-based teaching.优化炎症性肠病内镜质量：关注基于交互式图像和视频的教学在结直肠异型增生的监测和管理中的应用。
Gastrointest Endosc. 2017 Dec;86(6):1107-1117.e1. doi: 10.1016/j.gie.2017.07.045. Epub 2017 Aug 15.
9
Surveillance of long-standing colitis: the role of image-enhanced endoscopy.长期结肠炎的监测：图像增强内镜检查的作用。
Best Pract Res Clin Gastroenterol. 2015 Aug;29(4):687-97. doi: 10.1016/j.bpg.2015.06.002. Epub 2015 Jun 16.
10
Chromoendoscopy, Narrow-Band Imaging or White Light Endoscopy for Neoplasia Detection in Inflammatory Bowel Diseases.用于炎症性肠病肿瘤检测的色素内镜检查、窄带成像或白光内镜检查。
Dig Dis Sci. 2017 Nov;62(11):2982-2990. doi: 10.1007/s10620-017-4772-y. Epub 2017 Sep 30.
引用本文的文献
1
Scarred and complex colorectal polyps: Traditional techniques and emerging alternatives.瘢痕性和复杂性大肠息肉：传统技术与新兴替代方法
World J Methodol. 2025 Dec 20;15(4):105305. doi: 10.5662/wjm.v15.i4.105305.
2
Lynch syndrome and colorectal cancer: A review of current perspectives in molecular genetics and clinical strategies.林奇综合征与结直肠癌：分子遗传学与临床策略的当前观点综述
Oncol Res. 2025 Jun 26;33(7):1531-1545. doi: 10.32604/or.2025.063951. eCollection 2025.
3
Endoscopic Assessment of Local Resectability of Colorectal Malignancies.结直肠癌局部可切除性的内镜评估
Visc Med. 2024 Jun;40(3):110-115. doi: 10.1159/000538317. Epub 2024 Apr 22.
4
Precision in detecting colon lesions: A key to effective screening policy but will it improve overall outcomes?结肠病变检测的精准度：有效筛查策略的关键，但它会改善总体结果吗？
World J Gastrointest Endosc. 2024 Mar 16;16(3):102-107. doi: 10.4253/wjge.v16.i3.102.
5
Indigo Carmine: Between Necessity and Concern.靛胭脂：在必要与关切之间
J Xenobiot. 2023 Sep 20;13(3):509-528. doi: 10.3390/jox13030033.
6
Image enhanced colonoscopy: updates and prospects-a review.图像增强结肠镜检查：最新进展与前景——综述
Transl Gastroenterol Hepatol. 2023 Jul 25;8:26. doi: 10.21037/tgh-23-17. eCollection 2023.
7
Accuracy of Narrow-Band Imaging International Colorectal Endoscopic Classification for Predicting the Histology of Colon Polyps by Experienced Endoscopists and Trainees.窄带成像国际结直肠内镜分类在经验丰富的内镜医师和学员预测结肠息肉组织学中的准确性。
Turk J Gastroenterol. 2023 Aug;34(8):866-872. doi: 10.5152/tjg.2023.22854.
8
Phthalocyanine-Blue Nanoparticles for the Direct Visualization of Tumors with White Light Illumination.酞菁蓝纳米粒子可用于在白光照射下直接可视化肿瘤。
ACS Appl Mater Interfaces. 2023 Jul 19;15(28):33373-33381. doi: 10.1021/acsami.3c05140. Epub 2023 Jul 3.
9
Incremental Detection Rate of Dysplasia and Sessile Serrated Polyps/Adenomas Using Narrow-Band Imaging and Dye Spray Chromoendoscopy in Addition to High-Definition Endoscopy in Patients with Long-Standing Extensive Ulcerative Colitis: Segmental Tandem Endoscopic Study.在长期广泛性溃疡性结肠炎患者中，除高清内镜检查外，使用窄带成像和染料喷洒染色内镜检查增加发育异常和无蒂锯齿状息肉/腺瘤的检测率：分段串联内镜研究
Diagnostics (Basel). 2023 Jan 31;13(3):516. doi: 10.3390/diagnostics13030516.
10
Image-enhanced endoscopy and endoscopic resection practices in the colon among endoscopists in India.印度内镜医师在结肠进行图像增强内镜检查及内镜切除操作的情况。
Endosc Int Open. 2022 Sep 14;10(9):E1181-E1187. doi: 10.1055/a-1914-6197. eCollection 2022 Sep.
本文引用的文献
1
Are random biopsies still useful for the detection of neoplasia in patients with IBD undergoing surveillance colonoscopy with chromoendoscopy?对于接受色素内镜监测结肠镜检查的 IBD 患者，随机活检在肿瘤检测方面仍然有用吗？
Gut. 2018 Apr;67(4):616-624. doi: 10.1136/gutjnl-2016-311892. Epub 2017 Jan 23.
2
Virtual chromoendoscopy (I-SCAN) detects more polyps in patients with Lynch syndrome: a randomized controlled crossover trial.虚拟染色内镜检查（I-SCAN）在林奇综合征患者中检测到更多息肉：一项随机对照交叉试验。
Endoscopy. 2017 Apr;49(4):342-350. doi: 10.1055/s-0042-121005. Epub 2017 Jan 20.
3
Real-life chromoendoscopy for neoplasia detection and characterisation in long-standing IBD.长期 IBD 中用于肿瘤检测和特征描述的真实生活中的 chromoendoscopy。
Gut. 2018 Jan;67(1):70-78. doi: 10.1136/gutjnl-2016-312332. Epub 2016 Sep 9.
4
A standardized imaging protocol is accurate in detecting recurrence after EMR.标准化的成像方案能准确检测内镜黏膜下剥离术（EMR）后的复发。
Gastrointest Endosc. 2017 Mar;85(3):518-526. doi: 10.1016/j.gie.2016.06.031. Epub 2016 Jun 22.
5
Narrow-band Imaging International Colorectal Endoscopic Classification to predict polyp histology: REDEFINE study (with videos).窄带成像国际结直肠内镜分类预测息肉组织学：REDEFINE 研究（附视频）。
Gastrointest Endosc. 2016 Sep;84(3):479-486.e3. doi: 10.1016/j.gie.2016.02.020. Epub 2016 Feb 27.
6
Targeted Biopsies Identify Larger Proportions of Patients With Colonic Neoplasia Undergoing High-Definition Colonoscopy, Dye Chromoendoscopy, or Electronic Virtual Chromoendoscopy.靶向活检可在接受高清结肠镜检查、染色 chromoendoscopy 或电子虚拟 chromoendoscopy 的患者中确定更大比例的结直肠肿瘤。
Clin Gastroenterol Hepatol. 2016 May;14(5):704-12.e4. doi: 10.1016/j.cgh.2015.12.047. Epub 2016 Jan 22.
7
Chromoendoscopy Is More Effective Than Standard Colonoscopy in Detecting Dysplasia During Long-term Surveillance of Patients With Colitis.染色内镜检查在溃疡性结肠炎患者的长期监测中比标准结肠镜检查更有效地发现异型增生。
Clin Gastroenterol Hepatol. 2016 May;14(5):713-9. doi: 10.1016/j.cgh.2015.11.011. Epub 2015 Dec 2.
8
Real-Time Characterization of Diminutive Colorectal Polyp Histology Using Narrow-Band Imaging: Implications for the Resect and Discard Strategy.使用窄带成像对微小结直肠息肉组织学进行实时特征分析：对切除与丢弃策略的影响
Gastroenterology. 2016 Feb;150(2):406-18. doi: 10.1053/j.gastro.2015.10.042. Epub 2015 Oct 30.
9
Electronic chromoendoscopy.电子染色内镜检查
Gastrointest Endosc. 2015 Oct;82(4):765. doi: 10.1016/j.gie.2015.02.005.
10
A roadmap to the implementation of chromoendoscopy in inflammatory bowel disease colonoscopy surveillance practice.炎症性肠病结肠镜监测实践中实施色素内镜检查的路线图。
Gastrointest Endosc. 2016 Jan;83(1):213-22. doi: 10.1016/j.gie.2015.08.076. Epub 2015 Sep 11.
Zotero 插件