Imágenes de banda estrecha o Narrow band imaging (NBI)
Una nueva era en endoscopía digestiva
Palabras clave:
ENDOSCOPÍA GASTROINTESTINAL, AUMENTO DE LA IMAGEN, BIOPSIA, ESÓFAGO DE BARRETT, NEOPLASIAS COLORRECTALES
Resumen
El NBI o imagen de banda estrecha es un novedoso sistema de visualización endoscópica que posibilita una valoración en detalle de la superficie mucosa y su patrón vascular. Esto permite un avance cualitativo en el diagnóstico de las lesiones del tubo digestivo, así como una sustancial mejora en el seguimiento de enfermedades tales como esófago de Barrett, cáncer y pólipos colorrectales y enfermedad inflamatoria intestinal, entre otras.
El lograr un manejo adecuado de los pacientes con menor riesgo y mayor seguridad parece ser un objetivo cercano mediante la aplicación de esta nueva técnica, la cual se encuentra disponible para su aplicación clínica mediante la simple presión de un botón del endoscopio.
Citas
(1) De Rezende L, Parra-Blanco A. Utilidad de la cromoendoscopia como método auxiliar de la colonoscopía. Gastr Latinoam 2005; 16(3): 192-204.
(2) Hoffman A, Kiesslich R, Bender A, Neurath MF, Nafe B, Herrmann G, et al. Acetic acid-guided biopsies after magnifying endoscopy compared with random biopsies in the detection of Barrett’s esophagus: a prospective randomized trial with crossover design. Gastrointest Endosc 2006; 64(1): 1-8.
(3) Kiesslich R, Hoffman A, Neurath MF. Colonoscopy, tumors, and inflammatory bowel disease - new diagnostic methods. Endoscopy 2006; 38(1): 5-10.
(4) Gono K, Yamaguchi M, Ohyama N. Improvement of image quality of the electroendoscopy by narrowing spectral shapes of observation light. In: Imaging Society of Japan. Proceedings of International Congress Imaging Science, May 13-17, Tokyo, Japan: Imaging Society of Japan, 2002: 399-400.
(5) Sano Y, Kobayashi M, Hamamoto Y, Kato S, Fu KI, Yoshino T, et al. New diagnostic method based on color imaging using narrow band imaging (NBI) system for gastrointestinal tract. DDW Atlanta 2001 [abstract]: A696.
(6) Dekker E, Fockens P. New imaging techniques at colonoscopy: tissue spectroscopy and narrow band imaging. Gastrointest Endosc Clin N Am 2005; 15(4): 703-14.
(7) Sharma P, Weston AP, Topalovski M, Cherian R, Bhattacharyya A, Sampliner RE. Magnification chromoendoscopy for the detection of intestinal metaplasia and dysplasia in Barrett’s oesophagus. Gut 2003; 52(1): 24-7.
(8) Yao K. Gastric microvascular architecture as visualized by magnifying endoscopy: body and antral mucosa without pathologic change demonstrate two different patterns of microvascular architecture. Gastrointest Endosc 2004; 59(4): 596-7.
(9) Kozu T, Saito Y, Nonaka S, Saito D and Shimoda D. Early detection of hypopharyngeal cancer by Narrow Band Imaging. Dig Endosc 2006; 18(Suppl. 1): S6-8.
(10) Lind T, Havelund T, Carlsson R, Anker-Hansen O, Glise H, Hernqvist H, et al. Heartburn without oesophagitis: efficacy of omeprazole therapy and features determining response. Scand J Gastroenterol 1997; 32(10): 974-9.
(11) Jones RH, Hungin APS, Phillips J, Mills JG. Gastro-oesophageal reflux disease in primary care in Europe: clinical presentation and endoscopic findings. Eur J Gen Pract 1995; 1: 149-54.
(12) Sharma P, Rastogi A, Bansal A, Puli S, Mathur S. Clinical utility of narrow band imaging (NBI) endoscopy in patients with gastroesophageal reflux disease. Gastroenterology 2006; 130: A311.
(13) Sampliner RE, Practice Parameters Committee of the American College of Gastroenterology. Updated guidelines for the diagnosis, surveillance, and therapy of Barrett’s esophagus. Am J Gastroenterol 2002; 97(8): 1888-95.
(14) Blot WJ, Devesa SS, Kneller RW, Fraumeni JF Jr. Rising incidence of adenocarcinoma of the esophagus and gastric cardia. JAMA 1991; 265(10): 1287-9.
(15) Levine DS, Haggitt RC, Blount PL, Rabinovitch PS, Rusch VW, Reid BJ. An endoscopic biopsy protocol can differentiate high-grade dysplasia from early adenocarcinoma in Barrett’s esophagus. Gastroenterology 1993; 105(1): 40-50.
(16) Connor MJ, Sharma P. Chromoendoscopy and magnification endoscopy in Barrett’s esophagus. Gastrointest Endosc Clin N Am 2003; 1382): 269-77.
(17) Lambert R, Rey JF, Sankaranarayanan R. Magnification and chromoscopy with the acetic acid test. Endoscopy 2003; 35(5): 437-45.
(18) Evans JA, Poneros JM, Bouma BE, Bressner J, Halpern EF, Shishkov M, et al. Optical coherence tomography to identify intramucosal carcinoma and high-grade dysplasia in Barrett’s esophagus. Clin Gastroenterol Hepatol 2006; 4(1): 38-43.
(19) Kara MA, Peters FP, Ten Kate FJ, Van Deventer SJ, Fockens P, Bergman JJ. Endoscopic video autofluorescence imaging may improve the detection of early neoplasia in patients with Barrett’s esophagus. Gastrointest Endosc 2005; 61(6): 679-85.
(20) Canto MI. Diagnosis of Barrett’s Esophagus and Esophageal Neoplasia: East Meets West. Dig Endosc 2006; 18: S36-40.
(21) Kuznietsov K, Vázquez-Ballesteros E, Lambert R, Rey JF. Etude du réseau vasculaire de la jonction oesogastrique en endoscopie avec lê siystème IBA. Endoscopy 2006; 38: A1456.
(22) Hamamoto Y, Endo T, Nosho K, Arimura Y, Sato M, Imai K. Usefulness of narrow-band imaging endoscopy for diagnosis of Barrett’s Esophagus. J Gastroenterol 2004; 39(1): 14-20.
(23) Sharma P, Bansal A, Mathur S, Wani S, Cherian R, McGregor D, et al. The utility of a novel narrow band imaging endoscopy system in patients with Barrett’s esophagus. Gastrointest Endosc 2006; 64(2): 167-75.
(24) Kara MA, Peters FP, Rosmolen WD, Krishnadath KK, ten Kate FJ, Fockens P, et al. High-resolution endoscopy plus chromoendoscopy or narrow-band imaging in Barrett’s esophagus: a prospective randomized crossover study. Endoscopy 2005; 37(10): 929-36.
(25) Goda K, Tajiri H, Kayes M, Kato M and Takubo K. Flat and small squamous cell carcinoma of the esophagus detected and diagnosed by endoscopy with Narrow-Band Imaging System. Dig Endosc 2006; 18: S9-12.
(26) Nakayoshi T, Tajiri H, Matsuda K, Kaise M, Ikegami M, Sasaki H. Magnifying endoscopy combined with narrow band imaging system for early gastric cancer: correlation of vascular pattern with histopathology. Endoscopy 2004; 36(12): 1080-4.
(27) Gheorghe C. Narrow-band imaging endoscopy for diagnosis of malignant and premalignant gastrointestinal lesions. J Gastrointestin Liver Dis 2006; 15(1): 77-82.
(28) Uchiyama Y, Imazu H, Kakutani H, Hino S, Sumiyama K, Kuramochi A, et al. New approach to diagnosing ampullary tumors by magnifying endoscopy combined with a narrow-band imaging system. J Gastroenterol 2006; 41(5): 483-90.
(29) Davila RE, Rajan E, Baron TH, Adler DG, Egan JV, Faigel DO, et al. ASGE guideline: colorectal cancer screening and surveillance. Gastrointest Endosc 2006; 63(4): 546-57.
(30) Iade B, Tchekmedyian, A, Bianchi, C, San Martín J, Raggio A, Rocha MA, et al. Recomendaciones de la Sociedad de Gastroenterología del Uruguay para la detección precoz y el seguimiento del cáncer colorrectal. Rev Méd Uruguay 2003; 19(2): 172-7.
(31) Winawer SJ, Zauber AG, Ho MN, O’Brien MJ, Gottlieb LS, Sternberg SS, et al. Prevention of colorectal cancer by colonoscopic polypectomy: The National Polyp Study Workgroup. N Engl J Med 1993; 329(27): 1977-81.
(32) Van Rijn JC, Reitsma JB, Stoker J, Bossuyt PM, van Deventer SJ, Dekker E. Polyp miss rate determined by tandem colonoscopy: a systematic review. Am J Gastroenterol 2006; 101(2): 343-50.
(33) Kiesslich R, von Bergh M, Hahn M, Hermann G, Jung M. Chromoendoscopy with indigocarmine improves the detection of adenomatous and nonadenomatous lesions in the colon. Endoscopy 2001; 33(12): 1001-6.
(34) Machida H, Sano Y, Hamamoto Y, Muto M, Kozu T, Tajiri H, et al. Narrow-band imaging in the diagnosis of colorectal mucosal lesions: a pilot study. Endoscopy 2004; 36(12): 1094-8.
(35) East J, Susuki N, Swain D, Palmer N, Saunders B. Vascular Pattern Intensity: A new Classification System to differentiate Neoplastic and Non-Neoplastic lesions in the Colon using Narrow Band Imaging (NBI) with Magnification. Gastrointestinal Endosc 2006; 63: AB238.
(36) Sano Y, Horimatsu T, Fu KI. Magnified observation of microvascular architecture using narrow band imaging (NBI) for the differential diagnosis between non-neoplastic colorectal lesion. A prospective study. Gastrointest Endosc 2006; 63: AB102.
(37) Sano Y, Horimatsu T, Fu KI, Katagiri A, Muto M, Ishikawa H. Magnifying observation of microvascular architecture of colorectal lesions using a narrow band imaging system. Dig Endosc 2006; 18: S44-51.
(38) Levine J, Grupka M, Parente M. Narrow band imaging-close focus colonoscopy detection of colon aberrant crypt foci. Gastrointestinal Endosc 2006; 63: AB243.
(39) Ekbom A, Helmick C, Zack M, Adami H. Ulcerative colitis and colorectal cancer. A population-based study. N Engl J Med 1990; 323(18): 1228-33.
(40) Dekker E, van den Broek FJ, Reitsma JB, Hardwick JC, Offerhaus GJ, van Deventer SJ, et al. Narrow-band imaging compared with conventional colonoscopy for the detection of dysplasia in patients with longstanding ulcerative colitis. Endoscopy 2007; 39(3): 216-21.
(2) Hoffman A, Kiesslich R, Bender A, Neurath MF, Nafe B, Herrmann G, et al. Acetic acid-guided biopsies after magnifying endoscopy compared with random biopsies in the detection of Barrett’s esophagus: a prospective randomized trial with crossover design. Gastrointest Endosc 2006; 64(1): 1-8.
(3) Kiesslich R, Hoffman A, Neurath MF. Colonoscopy, tumors, and inflammatory bowel disease - new diagnostic methods. Endoscopy 2006; 38(1): 5-10.
(4) Gono K, Yamaguchi M, Ohyama N. Improvement of image quality of the electroendoscopy by narrowing spectral shapes of observation light. In: Imaging Society of Japan. Proceedings of International Congress Imaging Science, May 13-17, Tokyo, Japan: Imaging Society of Japan, 2002: 399-400.
(5) Sano Y, Kobayashi M, Hamamoto Y, Kato S, Fu KI, Yoshino T, et al. New diagnostic method based on color imaging using narrow band imaging (NBI) system for gastrointestinal tract. DDW Atlanta 2001 [abstract]: A696.
(6) Dekker E, Fockens P. New imaging techniques at colonoscopy: tissue spectroscopy and narrow band imaging. Gastrointest Endosc Clin N Am 2005; 15(4): 703-14.
(7) Sharma P, Weston AP, Topalovski M, Cherian R, Bhattacharyya A, Sampliner RE. Magnification chromoendoscopy for the detection of intestinal metaplasia and dysplasia in Barrett’s oesophagus. Gut 2003; 52(1): 24-7.
(8) Yao K. Gastric microvascular architecture as visualized by magnifying endoscopy: body and antral mucosa without pathologic change demonstrate two different patterns of microvascular architecture. Gastrointest Endosc 2004; 59(4): 596-7.
(9) Kozu T, Saito Y, Nonaka S, Saito D and Shimoda D. Early detection of hypopharyngeal cancer by Narrow Band Imaging. Dig Endosc 2006; 18(Suppl. 1): S6-8.
(10) Lind T, Havelund T, Carlsson R, Anker-Hansen O, Glise H, Hernqvist H, et al. Heartburn without oesophagitis: efficacy of omeprazole therapy and features determining response. Scand J Gastroenterol 1997; 32(10): 974-9.
(11) Jones RH, Hungin APS, Phillips J, Mills JG. Gastro-oesophageal reflux disease in primary care in Europe: clinical presentation and endoscopic findings. Eur J Gen Pract 1995; 1: 149-54.
(12) Sharma P, Rastogi A, Bansal A, Puli S, Mathur S. Clinical utility of narrow band imaging (NBI) endoscopy in patients with gastroesophageal reflux disease. Gastroenterology 2006; 130: A311.
(13) Sampliner RE, Practice Parameters Committee of the American College of Gastroenterology. Updated guidelines for the diagnosis, surveillance, and therapy of Barrett’s esophagus. Am J Gastroenterol 2002; 97(8): 1888-95.
(14) Blot WJ, Devesa SS, Kneller RW, Fraumeni JF Jr. Rising incidence of adenocarcinoma of the esophagus and gastric cardia. JAMA 1991; 265(10): 1287-9.
(15) Levine DS, Haggitt RC, Blount PL, Rabinovitch PS, Rusch VW, Reid BJ. An endoscopic biopsy protocol can differentiate high-grade dysplasia from early adenocarcinoma in Barrett’s esophagus. Gastroenterology 1993; 105(1): 40-50.
(16) Connor MJ, Sharma P. Chromoendoscopy and magnification endoscopy in Barrett’s esophagus. Gastrointest Endosc Clin N Am 2003; 1382): 269-77.
(17) Lambert R, Rey JF, Sankaranarayanan R. Magnification and chromoscopy with the acetic acid test. Endoscopy 2003; 35(5): 437-45.
(18) Evans JA, Poneros JM, Bouma BE, Bressner J, Halpern EF, Shishkov M, et al. Optical coherence tomography to identify intramucosal carcinoma and high-grade dysplasia in Barrett’s esophagus. Clin Gastroenterol Hepatol 2006; 4(1): 38-43.
(19) Kara MA, Peters FP, Ten Kate FJ, Van Deventer SJ, Fockens P, Bergman JJ. Endoscopic video autofluorescence imaging may improve the detection of early neoplasia in patients with Barrett’s esophagus. Gastrointest Endosc 2005; 61(6): 679-85.
(20) Canto MI. Diagnosis of Barrett’s Esophagus and Esophageal Neoplasia: East Meets West. Dig Endosc 2006; 18: S36-40.
(21) Kuznietsov K, Vázquez-Ballesteros E, Lambert R, Rey JF. Etude du réseau vasculaire de la jonction oesogastrique en endoscopie avec lê siystème IBA. Endoscopy 2006; 38: A1456.
(22) Hamamoto Y, Endo T, Nosho K, Arimura Y, Sato M, Imai K. Usefulness of narrow-band imaging endoscopy for diagnosis of Barrett’s Esophagus. J Gastroenterol 2004; 39(1): 14-20.
(23) Sharma P, Bansal A, Mathur S, Wani S, Cherian R, McGregor D, et al. The utility of a novel narrow band imaging endoscopy system in patients with Barrett’s esophagus. Gastrointest Endosc 2006; 64(2): 167-75.
(24) Kara MA, Peters FP, Rosmolen WD, Krishnadath KK, ten Kate FJ, Fockens P, et al. High-resolution endoscopy plus chromoendoscopy or narrow-band imaging in Barrett’s esophagus: a prospective randomized crossover study. Endoscopy 2005; 37(10): 929-36.
(25) Goda K, Tajiri H, Kayes M, Kato M and Takubo K. Flat and small squamous cell carcinoma of the esophagus detected and diagnosed by endoscopy with Narrow-Band Imaging System. Dig Endosc 2006; 18: S9-12.
(26) Nakayoshi T, Tajiri H, Matsuda K, Kaise M, Ikegami M, Sasaki H. Magnifying endoscopy combined with narrow band imaging system for early gastric cancer: correlation of vascular pattern with histopathology. Endoscopy 2004; 36(12): 1080-4.
(27) Gheorghe C. Narrow-band imaging endoscopy for diagnosis of malignant and premalignant gastrointestinal lesions. J Gastrointestin Liver Dis 2006; 15(1): 77-82.
(28) Uchiyama Y, Imazu H, Kakutani H, Hino S, Sumiyama K, Kuramochi A, et al. New approach to diagnosing ampullary tumors by magnifying endoscopy combined with a narrow-band imaging system. J Gastroenterol 2006; 41(5): 483-90.
(29) Davila RE, Rajan E, Baron TH, Adler DG, Egan JV, Faigel DO, et al. ASGE guideline: colorectal cancer screening and surveillance. Gastrointest Endosc 2006; 63(4): 546-57.
(30) Iade B, Tchekmedyian, A, Bianchi, C, San Martín J, Raggio A, Rocha MA, et al. Recomendaciones de la Sociedad de Gastroenterología del Uruguay para la detección precoz y el seguimiento del cáncer colorrectal. Rev Méd Uruguay 2003; 19(2): 172-7.
(31) Winawer SJ, Zauber AG, Ho MN, O’Brien MJ, Gottlieb LS, Sternberg SS, et al. Prevention of colorectal cancer by colonoscopic polypectomy: The National Polyp Study Workgroup. N Engl J Med 1993; 329(27): 1977-81.
(32) Van Rijn JC, Reitsma JB, Stoker J, Bossuyt PM, van Deventer SJ, Dekker E. Polyp miss rate determined by tandem colonoscopy: a systematic review. Am J Gastroenterol 2006; 101(2): 343-50.
(33) Kiesslich R, von Bergh M, Hahn M, Hermann G, Jung M. Chromoendoscopy with indigocarmine improves the detection of adenomatous and nonadenomatous lesions in the colon. Endoscopy 2001; 33(12): 1001-6.
(34) Machida H, Sano Y, Hamamoto Y, Muto M, Kozu T, Tajiri H, et al. Narrow-band imaging in the diagnosis of colorectal mucosal lesions: a pilot study. Endoscopy 2004; 36(12): 1094-8.
(35) East J, Susuki N, Swain D, Palmer N, Saunders B. Vascular Pattern Intensity: A new Classification System to differentiate Neoplastic and Non-Neoplastic lesions in the Colon using Narrow Band Imaging (NBI) with Magnification. Gastrointestinal Endosc 2006; 63: AB238.
(36) Sano Y, Horimatsu T, Fu KI. Magnified observation of microvascular architecture using narrow band imaging (NBI) for the differential diagnosis between non-neoplastic colorectal lesion. A prospective study. Gastrointest Endosc 2006; 63: AB102.
(37) Sano Y, Horimatsu T, Fu KI, Katagiri A, Muto M, Ishikawa H. Magnifying observation of microvascular architecture of colorectal lesions using a narrow band imaging system. Dig Endosc 2006; 18: S44-51.
(38) Levine J, Grupka M, Parente M. Narrow band imaging-close focus colonoscopy detection of colon aberrant crypt foci. Gastrointestinal Endosc 2006; 63: AB243.
(39) Ekbom A, Helmick C, Zack M, Adami H. Ulcerative colitis and colorectal cancer. A population-based study. N Engl J Med 1990; 323(18): 1228-33.
(40) Dekker E, van den Broek FJ, Reitsma JB, Hardwick JC, Offerhaus GJ, van Deventer SJ, et al. Narrow-band imaging compared with conventional colonoscopy for the detection of dysplasia in patients with longstanding ulcerative colitis. Endoscopy 2007; 39(3): 216-21.
Publicado
2008-03-31
Cómo citar
1.
Tchekmedyian AJ, Pellisé M, Sáenz R. Imágenes de banda estrecha o Narrow band imaging (NBI). Rev. Méd. Urug. [Internet]. 31 de marzo de 2008 [citado 16 de mayo de 2024];24(1):42-9. Disponible en: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/594
Sección
Actualización de Técnicas
