JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2016, Vol. 54 ›› Issue (1): 42-44.doi: 10.6040/j.issn.1671-7554.0.2015.522

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Endoscopy with i-scan for upper gastrointestinal cancer screening

HOU Chuanqiang, LIU Yingguo, LIU Yunlong, ZHOU Xiufen   

  1. Department of Gastroenterology, Liaocheng Hospital of Infectious Disease, Liaocheng 252000, Shandong, China
  • Received:2015-02-13 Online:2016-01-11 Published:2016-01-11

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Abstract: Objective To explore the application of endoscopy with i-scan in the screening of upper gastrointestinal cancer. Methods Subjects who were to undergo upper gastrointestinal cancer screening in our hospital were randomly divided into two groups, endoscopy with i-scan group(n=3 000), and white light endoscopy group(n=3 000). Detection rate, early detection rate, sensitivity and specificity of the two groups were compared. Results Compared with white light endoscopy group, the endoscopy with i-scan group showed better detection rate(P<0.05). The sensitivity, specificity and early detection rate of endoscopy with i-scan group were 82.35%, 79.14%, and 12%, while those of the white light endoscopy group were 78.13%, 65.54% and 6.67%, with statistically significant differences between the two groups(P<0.05). Conclusion Endoscopy with i-scan can improve the detection rate of upper gastrointestinal cancer and precancerous lesions. It is a valuable technique for upper gastrointestinal cancer screening.

Key words: Upper gastrointestinal cancer, Endoscopy with i-scan, Endoscopy

CLC Number: 

  • R57
[1] Chen W, He Y, Zheng R, et al. Esophageal cancer incidence and mortality in China, 2009[J]. Thorac Dis, 2013, 5(1): 19-26.
[2] Areia M, Amaro P, Dinis-Ribeiro M, et al. External validation of a classification for methylene blue magnification chromoendoscopy in premalignant gastric lesions[J]. Gastrointest Endosc, 2008, 67(7): 1011-1018.
[3] Leung WK, Wu MS, Kakugawa Y, et al. Screening for gastric cancer in Asia: current evidence and practice[J]. Lancet Oncol, 2008, 9(3): 279-287.
[4] Li HY, Dai J, Xue HB, et al. Application of magnifying endoscopy with narrow-band imaging in diagnosing gastric lesions: a prospective study[J]. Gastrointest Endosc, 2012, 76(6): 1124-1132.
[5] 周以瑞, 李玉明, 钱丽佳, 等. 胃蛋白酶原联合放大染色内镜在早期胃癌诊断中的应用[J]. 放射免疫学杂志, 2010, 23(6): 667-670. ZHOU Yirui, LI Yuming, QIAN Lijia, et al. Serum pepsinogen deteimination combined with staining amplifying endoscopy in the diagnosis of early gastric cancer[J]. Journal of Radio Immunology, 2010, 23(6): 667-670.
[6] 王迪菲, 徐雷鸣, 周敏, 等. Lugol液染色在Barrett食管诊断中的价值[J]. 中国现代医学杂志, 2009, 19(14): 2214-2217. WANG Difei, XU Leiming, ZHOU Min, et al. Value of Lugos of Barretts esophagus by endoscopy[J]. China Journal of Modern Medicine, 2009, 19(14): 2214-2217.
[7] Banerjee R, Reddy DN. Enhanced endoscopic imaging and gastroesophageal reflux disease[J]. Indian J Gastroenterol, 2011, 30(5): 193-200.
[8] Pigo F, Bertani H, Manno M, et al. i-Scan high definition white light endoscopy and colorectal polyps: prediction of histology, interobserver and intraobserver agreement[J]. Int J Colorectal Dis, 2013, 28(3): 399-406.
[9] 许国铭, 李兆申. 上消化道内镜学[M]. 上海: 上海科学技术出版社, 2003:11.
[10] 刘运祥, 黄留业. 实用消化内镜治疗学[M]. 北京: 人民卫生出版社, 2008: 5.
[11] Ren W, Yu J, Zhang ZM, et al. Missed diagnosis of early gastric cancer or high-grade intraepithelial neoplasia[J]. World J Gastroenterol, 2013, 19(3): 2092-2096.
[12] 邹百仓, 董蕾, 陈芬荣, 等. 高清染色内镜对Barrett食管的诊断价值[J]. 西安交通大学学报, 2013, 34(5): 628-631. ZOU Baicang, DONG Lei, CHEN Fenrong, et al. The value of high-definition plus endoscopy with i-scan in diagnosis of Barretts esophagus[J]. Journal of Xian Jiaotong University, 2013, 34(5): 628-631.
[13] 袁华魏, 王朝晖, 王青. 胃蛋白酶原联合智能染色内镜对早期胃癌的诊断[J]. 中国中西医结合消化杂志, 2013, 21(1): 21-24. YUAN Huawei, WANG Zhaohui, WANG Qing. Clinical study of early-stage gastric carcinoma diagnosis with pepsinogen combined with intelligent chromoendoscopy[J]. Chin J Integr Trad West Med Dig, 2013, 21(1): 21-24.
[14] 周平红, 蔡明琰, 姚礼庆, 等. 消化道黏膜病变ESD治疗专家共识意见[J]. 中华胃肠外科杂志, 2012, 15(10): 20-21.
[15] Cho KB, Jean WJ, Kim JJ, et al. Worldwide experiences of endoscopic submucosal dissection: not just Eastern acrobatics[J]. World J Gastroenterol, 2011, 17(21): 2611-2617.
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