Comprehensive Atlas of High-Resolution Endoscopy and Narrowband Imaging

Previous edition won First Prize in the Gastroenterology category of the 2008 BMA Medical Book Competition

High-resolution endoscopy and narrowband imaging have revolutionized the field. Edited by a gastroenterologist with a reputation for delivering outstanding material, this new edition of an award-winning atlas provides you with an outstanding collection of images, videos, and expert diagnostic guidance to enhance your decision making.

To accelerate your learning, Dr. Cohen offers more than 2000 endoscopic images, emphasizing conditions for which NBI is particularly useful – such as finding dysplasia in Barrett's mucosa, and diagnosing adenomatous colon polyps – and providing exceptional preparation for the future of endoscopy practice, with a broad new look at normal and abnormal findings throughout the GI tract.

The book is divided into three main parts:

• The basics of NBI
• Clinical applications of NBI
• Atlas of 1600 color images, broken into sections on the pharynx and esophagus, stomach, small intestine, and colon, including correlating histopathology and multiple examples of key pathologies

The accompanying website features more than 85 video clips containing over 3 hours of annotated video, to give you a complete sense of how HRE and NBI work and look in real time, including during therapeutic procedures.

All of the over 1000 new images appear in much brighter color, reflecting the advance in scope technology since the first edition. New chapters have been added to present the data supporting increased use of NBI in optical diagnosis and in the context of therapeutic procedures. For the first time, brilliant images of the bile duct and pancreas are included as the imaging revolution has expanded to reach these new locations. This spectacular new imaging modality promises to enhance endoscopic decision making in real time, facilitate therapeutic maneuvers, make tissue sampling more precise, and make resection of mucosal neoplasia more complete.

Expertly guiding you through the latest advances, this book facilitates your mastery of the field, and provides an up-to-date reference for gastroenterologists and endoscopists to improve their practice.

Preface vi

Acknowledgments viii

Contributors ix

About the Companion Website xii

List of videos illustrating key procedures xiii

Part 1: The Basics of NBI

1 Narrow band imaging: historical background and basics for its development 3
Shigeaki Yoshida

2 An introduction to high-resolution endoscopy and narrow band imaging 7
Kazuhiro Gono

3 Getting started with narrow band imaging 16
Neil Gupta, Ajay Bansal, and Prateek Sharma

Part 2: Application of High-Resolution Endoscopy and NBI in Diagnosis and Therapy

Section 1: Pharynx and Esophagus

4 Detection and superficial cancer in oropharyngeal and hypopharyngeal  mucosal sites and the value of NBI in qualitative diagnosis 27
Manabu Muto, Atsushi Ochiai, and Shigeaki Yoshida

5 Magnifying endoscopic diagnosis of tissue atypia and cancer in vasion depth in the area of pharyngoesophageal  squamous epithelium by NBI enhanced magnification image: IPCL pattern classification 39
Robert Bechara and Haruhiro Inoue

6 Applications of NBI HRE abd preliminary data: Barrett’s esophagus and adenocarcinoma 60
Anne-Fré Swager, Prateek Sharma, Jacques J. Bergman and Wouter L. Curvers

Section 2: Stomach and Duodenum

7 Clinical application of magnification endoscopy with NBI in the stomach and the duodenum 75
Kenshi Yao, Takashi Nagahama, Fumihito Hirai, Suketo Sou, Toshiyuki Matsui, Hiroshi Tanabe, Akinori Iwashita, Philip Kaye and Krish Ragunath

8 Magnifying endoscopy with NBI in the diagnosis of superficial gastric neoplasia and its application for endoscopic submucosal dissection 94
Mitsuru Kaise

Section 3: Colon

9 Optical chromoendoscopy using NBI during screening colonoscopy: its usefulness and application 109
Yasushi Sano and Shigeaki Yoshida

10 Keys to effective performance of resect and discard NBI 131
Douglas K. Rex

11 The significance of NBI observation for inflammatory bowel diseases 146
Takayuki Matsumoto, Tetsuji Kudo, Mitsuo Iida, and James East

Section 4: New Horizons for High-Resolution Endoscopy and Narrow band Imaging

12 NBI and high-resolution endoscopy in the bile duct and pancreas 163
Takao Itoi

13 Applications in the therapeutic endoscopy: impact on timing and completeness of mucosal ablation and resections 174
Michael J. Bartel, Lijia Jiang, and Michael B. Wallace

Part 3: Atlas of Images and Histopathologic Correlates

14 Pharynx and esophagus atlas 185

15 Stomach atlas 257

16 Small intestine atlas 317

17 Colon atlas 357

Index 553

Edited by Jonathan Cohen, MD, FASGE, FACG, Clinical Professor of Medicine, NYU Langone School of Medicine, New York, NY, USA