Year 2015 / Volume 107 / Number 7
Digestive Diseases Image
Usefulness of magnifying endoscopy with narrow-band imaging for identification of early gastric cancer around an ulcer scar

442-443

Tae Matsunaga, Hideki Kobara, Hirohito Mori, Shintaro Fujihara and Tsutomu Masaki

Abstract
A 60-year-old man with familial colonic polyposis presented for screening upper GI endoscopy; he had previously undergone pancreato-duodenectomy because of Vater’s papilla cancer and total colectomy. Conventional white light endoscopy (C-WLE) revealed an ulcer scar with converting folds located in the upper remnant stomach; a gastric tumor was not detected (Fig. 1). Subsequently, magnifying endoscopy with narrow-band imaging (NBI-ME) was performed for detailed assessment of the ulcer scar, including the surrounding mucosa, and demonstrated a carcinoma with a demarcation line (DL) (Fig. 2) and an irregular micro-vascular pattern (Fig. 3) based on the VS (vessel plus surface) classification system (1) on the anal side of the ulcer scar. C-WLE shows a concordant line demarcated by NBI-ME (Fig. 4).
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Tae Matsunaga, Hideki Kobara, Hirohito Mori, Shintaro Fujihara and Tsutomu Masaki. Usefulness of magnifying endoscopy with narrow-band imaging for identification of early gastric cancer around an ulcer scar. 442-443


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