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DOI: 10.1055/s-2006-925145
Taking a Closer Look at Gastritis
G. K. Anagnostopoulos, M. D.
Wolfson Digestive Diseases Centre,
Queen’s Medical Centre,
University of Nottingham
29A Newcastle Drive
The Park
Nottingham NG7 1AA
United Kingdom
Fax: +44-7834-776320
eMail: gkanagnostopoulos@yahoo.gr
Publikationsverlauf
Publikationsdatum:
27. April 2006 (online)
Figure 1 Conventional endoscopic view of the prepyloric region of the stomach, showing a well-circumscribed area of reddened mucosa which was interpreted as “antral gastritis”.
Figure 2 The same region visualised using a high-resolution zoom endoscope (Olympus GIF-Q240Z; Olympus Optical Co. Ltd., Tokyo, Japan) with distal cap attachment and the Lucera system video endoscopy processor (Olympus CV-260). This equipment provides the advanced features of adaptive index of haemoglobin (IHb) colour and structural enhancement, which emphasises subtle chromatic alterations in the mucous membrane. We visualised coil-like capillary loops of normal antral mucosa (white arrows, upper left), a clear demarcation line between cancerous and noncancerous mucosa (black arrows), and a leash of irregular vessels suggestive of neovascularisation and angiogenesis secondary to dysplasia (grey arrows). Targeted biopsies were obtained and histological examination revealed high-grade dysplasia.
Competing interests: Not declared
G. K. Anagnostopoulos, M. D.
Wolfson Digestive Diseases Centre,
Queen’s Medical Centre,
University of Nottingham
29A Newcastle Drive
The Park
Nottingham NG7 1AA
United Kingdom
Fax: +44-7834-776320
eMail: gkanagnostopoulos@yahoo.gr
G. K. Anagnostopoulos, M. D.
Wolfson Digestive Diseases Centre,
Queen’s Medical Centre,
University of Nottingham
29A Newcastle Drive
The Park
Nottingham NG7 1AA
United Kingdom
Fax: +44-7834-776320
eMail: gkanagnostopoulos@yahoo.gr
Figure 1 Conventional endoscopic view of the prepyloric region of the stomach, showing a well-circumscribed area of reddened mucosa which was interpreted as “antral gastritis”.
Figure 2 The same region visualised using a high-resolution zoom endoscope (Olympus GIF-Q240Z; Olympus Optical Co. Ltd., Tokyo, Japan) with distal cap attachment and the Lucera system video endoscopy processor (Olympus CV-260). This equipment provides the advanced features of adaptive index of haemoglobin (IHb) colour and structural enhancement, which emphasises subtle chromatic alterations in the mucous membrane. We visualised coil-like capillary loops of normal antral mucosa (white arrows, upper left), a clear demarcation line between cancerous and noncancerous mucosa (black arrows), and a leash of irregular vessels suggestive of neovascularisation and angiogenesis secondary to dysplasia (grey arrows). Targeted biopsies were obtained and histological examination revealed high-grade dysplasia.