Confocal laser endomicroscopy for diagnosis of Barrett´s esophagus

Barrett´s esophagus (BE) is established as a premalignant condition in the distal esophagus. Current surveillance guidelines recommend random biopsies every 1-2 cm at intervals of 3-5 years. Advanced endoscopic imaging of BE underwent several technical revolutions within the last decade inc...

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Main Authors: Helmut eNeumann, Cord eLangner, Markus F. Neurath, Michael eVieth
Format: Article
Language:English
Published: Frontiers Media S.A. 2012-05-01
Series:Frontiers in Oncology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fonc.2012.00042/full
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author Helmut eNeumann
Cord eLangner
Markus F. Neurath
Michael eVieth
author_facet Helmut eNeumann
Cord eLangner
Markus F. Neurath
Michael eVieth
author_sort Helmut eNeumann
collection DOAJ
description Barrett´s esophagus (BE) is established as a premalignant condition in the distal esophagus. Current surveillance guidelines recommend random biopsies every 1-2 cm at intervals of 3-5 years. Advanced endoscopic imaging of BE underwent several technical revolutions within the last decade including broad-field (red-flag) techniques (e.g. chromoendoscopy) and small-field techniques with confocal laser endomicroscopy (CLE) at the forefront. In this review we will focus on advanced endoscopic imaging using CLE for the diagnosis and characterization of BE and associated neoplasia. In addition, we will critically discuss the technique of CLE and provide some tricks and hints for the daily routine practice of CLE for diagnosis of BE.
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spelling doaj.art-80cc44f4dbb444daab4addd62a0086a72022-12-21T22:24:21ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2012-05-01210.3389/fonc.2012.0004222261Confocal laser endomicroscopy for diagnosis of Barrett´s esophagusHelmut eNeumann0Cord eLangner1Markus F. Neurath2Michael eVieth3University of Erlangen-NurembergMedical University GrazUniversity of Erlangen-NurembergKlinikum BayreuthBarrett´s esophagus (BE) is established as a premalignant condition in the distal esophagus. Current surveillance guidelines recommend random biopsies every 1-2 cm at intervals of 3-5 years. Advanced endoscopic imaging of BE underwent several technical revolutions within the last decade including broad-field (red-flag) techniques (e.g. chromoendoscopy) and small-field techniques with confocal laser endomicroscopy (CLE) at the forefront. In this review we will focus on advanced endoscopic imaging using CLE for the diagnosis and characterization of BE and associated neoplasia. In addition, we will critically discuss the technique of CLE and provide some tricks and hints for the daily routine practice of CLE for diagnosis of BE.http://journal.frontiersin.org/Journal/10.3389/fonc.2012.00042/fullAdenocarcinomaFluoresceinMolecular ImagingiCLEpCLEadvanced imaging
spellingShingle Helmut eNeumann
Cord eLangner
Markus F. Neurath
Michael eVieth
Confocal laser endomicroscopy for diagnosis of Barrett´s esophagus
Frontiers in Oncology
Adenocarcinoma
Fluorescein
Molecular Imaging
iCLE
pCLE
advanced imaging
title Confocal laser endomicroscopy for diagnosis of Barrett´s esophagus
title_full Confocal laser endomicroscopy for diagnosis of Barrett´s esophagus
title_fullStr Confocal laser endomicroscopy for diagnosis of Barrett´s esophagus
title_full_unstemmed Confocal laser endomicroscopy for diagnosis of Barrett´s esophagus
title_short Confocal laser endomicroscopy for diagnosis of Barrett´s esophagus
title_sort confocal laser endomicroscopy for diagnosis of barrett 180 s esophagus
topic Adenocarcinoma
Fluorescein
Molecular Imaging
iCLE
pCLE
advanced imaging
url http://journal.frontiersin.org/Journal/10.3389/fonc.2012.00042/full
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AT cordelangner confocallaserendomicroscopyfordiagnosisofbarrett180sesophagus
AT markusfneurath confocallaserendomicroscopyfordiagnosisofbarrett180sesophagus
AT michaelevieth confocallaserendomicroscopyfordiagnosisofbarrett180sesophagus