White Paper AGA: Advanced Imaging in Barrett's Esophagus

Prateek Sharma, Joel Brill, Marcia Canto, Daniel DeMarco, Brian Fennerty, Neil Gupta, Loren Laine, David Lieberman, Charles Lightdale, Elizabeth Montgomery, Robert Odze, Jeffrey Tokar, Michael Kochman

Research output: Contribution to journalArticle

Abstract

Enhanced imaging technologies such as narrow band imaging, flexible spectral imaging color enhancement, i-Scan, confocal laser endomicroscopy, and optical coherence tomography are readily available for use by endoscopists in routine clinical practice. In November 2014, the American Gastroenterological Association's Center for GI Innovation and Technology conducted a 2-day workshop to discuss endoscopic image enhancement technologies, focusing on their role in 2 specific clinical conditions (colon polyps and Barrett's esophagus) and on issues relating to training and implementation of these technologies (white papers). Although the majority of the studies that use enhanced imaging technologies have been positive, these techniques ideally need to be validated in larger cohorts and in community centers. As it stands today, detailed endoscopic examination with high-definition white-light endoscopy and random 4-quadrant biopsy remains the standard of care. However, the workshop panelists agreed that in the hands of endoscopists who have met the preservation and incorporation of valuable endoscopic innovation thresholds (diagnostic accuracy) with enhanced imaging techniques (specific technologies), use of the technique in Barrett's esophagus patients is appropriate.

Original languageEnglish (US)
Pages (from-to)2209-2218
Number of pages10
JournalClinical Gastroenterology and Hepatology
Volume13
Issue number13
DOIs
Publication statusPublished - Dec 1 2015

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Keywords

  • Barrett's Esophagus
  • Confocal Laser Endomicroscopy
  • Endoscopic Image Enhancement
  • Flexible Spectral Imaging Color Enhancement
  • I-Scan
  • Narrow-Band Imaging

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

Cite this

Sharma, P., Brill, J., Canto, M., DeMarco, D., Fennerty, B., Gupta, N., ... Kochman, M. (2015). White Paper AGA: Advanced Imaging in Barrett's Esophagus. Clinical Gastroenterology and Hepatology, 13(13), 2209-2218. https://doi.org/10.1016/j.cgh.2015.09.017