Endoscopic diagnosis and treatment of dysplasia and early cancer in the Upper GIT (#58)
Screening and surveillance endoscopy has evolved from performing random biopsies to a ‘targeted biopsy’ approach. This evolution has been possible due to rapid advances in endoscopic imaging technology. Subtle mucosal morphological changes associated with dysplasia or early cancer can be identified. Novel endoscopic imaging techniques, which include Narrow Band Imaging, Chromoendoscopy, Autofluorescence Imaging, Confocal Endomicroscopy and Endocytoscopy and how these could possibly impact clinical practice, will be discussed. Areas detected with these modalities can then be targeted endoscopically. Various endoscopic resection and ablation techniques and its associated risks and benefits will be deliberated further.