Trial reportIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2013
Narrow band imaging versus white light gastroscopy in detecting potentially premalignant gastric lesions: a randomized prospective crossover study.
Trial report in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Guideline
- Review
- Chinese integrated guideline on the management of gastric precancerous conditions and lesions.Chinese medicine · 2022Review
- Proposal of minimum elements for screening and diagnosis of gastric cancer by an international Delphi consensus.DEN open · 2022Review
- Usefulness of artificial intelligence in gastric neoplasms.World journal of gastroenterology · 2021Review
- Expert-level classification of gastritis by endoscopy using deep learning: a multicenter diagnostic trial.Endoscopy international open · 2021Article
- Diagnostic value of linked color imaging based on endoscopy for gastric intestinal metaplasia: a systematic review and meta-analysis.Annals of translational medicine · 2021Article
- Recent advances in the detection and management of early gastric cancer and its precursors.Frontline gastroenterology · 2021Review
- Recent advances in diagnostic upper endoscopy.World journal of gastroenterology · 2020Review
- Diagnosis of early gastric cancer using image enhanced endoscopy: a systematic approach.Translational gastroenterology and hepatology · 2020Review
- The evolving role of endoscopy in the diagnosis of premalignant gastric lesions.F1000Research · 2018Review
- Evidence based review of the impact of image enhanced endoscopy in the diagnosis of gastric disorders.World journal of gastrointestinal endoscopy · 2016Review
- Magnified and enhanced computed virtual chromoendoscopy in gastric neoplasia: a feasibility study.World journal of gastroenterology · 2013Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsNarrow band imaging (NBI) detects mucosal surface details (pit pattern) as well as the microvasculature pattern of mucosa. In premalignant conditions the pattern and regularity of pits and microvasculature are altered. We aimed to assess whether NBI is superior to conventional white light gastroscopy (WLG) in detecting potentially premalignant gastric lesions. PATIENTS AND
methodsWe conducted a randomized prospective crossover study from January 2009 to July 2009. Patients above 45 years of age with dyspepsia in absence of alarm symptoms underwent gastric mucosal examination using WLG and NBI in the same session by different endoscopists who were blinded to each other's endoscopy findings. Biopsy was taken if required at the end of the second gastroscopy after a third observer reviewed reports of both scopists. The yield of gastric potentially premalignant lesions (atrophic gastritis, intestinal metaplasia, dysplasia, adenomatous polyp) was compared for both procedures.
resultsTwo hundred [mean age 52.3 (6.4) years, males-66 %] patients participated in the study. Thirty-two patients were diagnosed to have potentially premalignant lesions using both modalities. No patient had early gastric cancer. WLG detected lesions in 17 patients (atrophic gastritis in 12, atrophic gastritis with intestinal metaplasia in 5) and NBI in 31 patients (atrophic gastritis in 22, atrophic gastritis with intestinal metaplasia in 9). The sensitivity of lesion detection by NBI was significantly higher than WLG (p = 0.001).
conclusionsNBI was superior to WLG for detection of atrophic gastritis and intestinal metaplasia.
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