Image-Enhanced Endoscopy for Diagnosis and Treatment of Gastrointestinal Tumor

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Clin Endosc. 2013;46(4):423-424
Publication date (electronic) : 2013 July 31
doi : https://doi.org/10.5946/ce.2013.46.4.423
Hainan Medical University, Haikou, China.
University of Nis Faculty of Medicine, Niš, Serbia.
Joseph Ayo Babalola University, Ikeji-Arakeji, Nigeria.
Chulalongkorn University, Bangkok, Thailand.
Correspondence: Viroj Wiwanitkit, Wiwanitkit House, Bangkhae, Bangkok 10160, Thailand. Tel: +66-24-132436, Fax: +66-24-132436, wviroj@yahoo.com
Received 2013 June 18; Accepted 2013 July 23.

To the Editor:

Sir, the recent report on mage-enhanced endoscopy for diagnosis and treatment of gastrointestinal tumor is very interesting.1 Kim and Ku1 noted that the usefulness of these image enhanced endoscopy has not been proven yet, although there are several studies reporting diagnostic superiority of these new imaging methods over white light endoscopy. In fact, the new image-enhanced endoscopy has several advantages. The better visualization can help physician better manipulate the gastrointestinal tumor.2 However, there are some points to be considered. First, there is no systematic evaluation on the cost effectiveness of this new technique comparing to the classical technique. Nishida et al.3 noted and called for the evaluation of the safety and cost effectiveness of this new technique.

Notes

The author has no financial conflicts of interest.

References

1. Kim KO, Ku YS. Is image-enhanced endoscopy useful for the diagnosis and treatment of gastrointestinal tumor? Clin Endosc 2013;46:248–250. 23767035.
2. Sonbare D. Image-enhanced laparosocopy: would it change staging and management protocols in surgical oncology. Surgery 2012;152:939–940. 22902200.
3. Nishida T, Tsutsui S, Kato M, et al. Treatment strategy for gastric noninvasive intraepithelial neoplasia diagnosed by endoscopic biopsy. World J Gastrointest Pathophysiol 2011;2:93–99. 22180842.

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