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Expanding beyond endoscopy: A review of non-invasive modalities in Barrett’s esophagus screening and surveillance

World journal of Gastroenterology 2022年第32期28卷 4516-4526页

作者： Dariush Shahsavari Praneeth Kudaravalli j.hn erikson l yap Kenneth j Vega Division of Gastroenterology and Hepatology Augusta University-Medical College of GeorgiaAugustaGA 30912United States

Barrett’s esophagus(BE)is a condition that results from replacement of the damaged normal squamous esophageal mucosa to intestinal columnar mucosa and is the most significant predisposing factor for development of esophageal *** guidelines recommend endoscopic evaluation for screening and surveillance based on various risk factors which has limitations such as invasiveness,availability of a trained specialist,patient logistics and ***-nasal endoscopy is a less invasive modality but still has similar limitations such as limited availability of trained specialist and ***-endoscopic modalities,in comparison,require minimal intervention,can be done in an office visit and has the potential to be a more ideal choice for mass public screening and surveillance,particularly in patents at low risk for *** include newer generations of esophageal capsule endoscopy which provides direct visualization of BE,and tethered capsule endomicroscopy which can obtain high-resolution images of the *** cell collection devices coupled with biomarkers have been used for BE ***,in combination with TFF3,as well as EsophaCap and EsoCheck have shown promising results in various studies when used with various *** modalities including circulatory microRNAs and volatile organic compounds that have demonstrated favorable *** of these cell collection methods for BE surveillance is a potential area of future research.

关键词： Barrett’s esophagus Screening Surveillance Non-endoscopic Cytosponge Esophacap Esocheck

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