By Manabu Muto, Kenshi Yao, Yasushi Sano
With its specialize in slender band imaging, this ebook is a wonderful reference for brand new in addition to skilled practitioners within the box of endoscopy. slender band imaging has caused a innovative development in diagnostic endoscopy, permitting target prognosis and designated detection of lesions. It has greater the potential of endoscopy to facilitate qualitative diagnoses for the good good thing about sufferers who suffer endoscopic examinations. in spite of the fact that, a standardized method of category has no longer but been proven and plenty of clinicians and researchers aren't but hugely expert in using the approach or studying the photographs which are produced. This atlas addresses these matters, offering transparent, uncomplicated and easy-to-understand descriptions illustrated with beneficiant use of endoscopic images.
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Extra resources for Atlas of Endoscopy with Narrow Band Imaging
We then advance the endoscope as far as the right piriform sinus. We can observe the larynx from a distance at this point. If the epiglottis interferes with advancing the endoscope, forcing the scope past may bring it into contact with the epiglottis, inducing the gag reflex. Instead, we ask the patient to breathe in, moving the epiglottis anteriorly to allow the intake of air and making space for the endoscope to pass distally. 2 Tips for Obtaining Optimum Viewing Conditions Using NBI 15 Fig. 5 NBI image of close position of posterior wall of hypopharynx and larynx Fig.
22 M. Muto et al. Fig. 5 Gastric wall Lesion Water Immersion Technique Fig. 13 Suction to aspirate intragastric air. From the situation shown in Fig. 12, we do not push the scope down but rather aspirate intragastric air to draw the mucosa up to the hood Filling the narrow space bounded by the mucosa, hood lumen, and scope tip with water during magnifying examinations is known as the water immersion technique. This method has the following merits: 1. Elimination of halation (diffuse light reflection from the mucosal surface).
4 Type 4 The basic morphologies of vessels appearing in areas of LPM to SM invasion are multilayered (MV, Fig. 12a), irregularly branching (IB, Fig. 12b), and reticular (R, Fig. 12c). The invasive part of the cancer appears as an avascular area (AVA), an area lacking in hypertrophic vessels, surrounded by stretched type 4 vessels. The size of the AVA correlates closely with the depth of tumor invasion, so even in LPM cancers type 4 vessels can be seen surrounding a 200–300 µm decolored AVA. 5 mm (Fig.
Atlas of Endoscopy with Narrow Band Imaging by Manabu Muto, Kenshi Yao, Yasushi Sano