9/15/2023 0 Comments Celiac endoscopy findings![]() ![]() The combination of these techniques has been suggested to improve the detection of duodenal villous abnormalities 11. Hardware-dependent techniques such as optical coherence tomography, confocal laser endomicroscopy, video capsule endoscopy, and enteroscopy can be performed only with dedicated tools that are different from regular gastroscopes, or with the use of probes 9 10. Software-dependent techniques include Narrow-Band Imaging (optical dye-less chromoendoscopy), Fujinon Intelligent Chromo Endoscopy (virtual dye-less chromoendoscopy) and i-SCAN, which are dyeless chromoendoscopy tools. The water-immersion technique (WIT) and dye-staining chromoendoscopy and machine-independent. Because standard endoscopy is unreliable, other endoscopic tools have been investigated for diagnosis opf CD, which fall into two categories based on their working principle: machine-independent techniques and machine-dependent techniques the latter include software- and hardware-dependent techniques 9 10. The diagnostic accuracy of these findings is largely variable, according to different reports 5 6, and they are associated with a significant rate of underdiagnosis of CD 7 8. Macroscopic markers of CD, estimable with white light endoscopy, include the “scalloped” appearance of duodenal folds, nodular pattern of the mucosa (the so-called “mosaicism”), evidence of submucosal vessels, and epithelial fissurations 4. Upper endoscopy, therefore, takes on paramount importance in management of CD for several reasons, including serendipitous discovery of endoscopic markers of CD, assessment of “patchy” villous atrophy, targeting of biopsy sampling, and evaluation of CD-related complications. Although serology-based diagnosis of celiac disease (CD) in children recently has been legitimized 1, small bowel biopsy remains the gold standard for diagnosis of the condition 2 3. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |