Endo-Diagnosis of Early NPL and
Indications for Resection Technique (RT)

Atlas of Endoscopy with Narrow Band Imaging
M Muto, K Yao, Y Sano (eds.), 1st JP ed., Nankodo Co Ltd, Tokyo, 2011

  • CHAP 1: K Gono. Principles & History of NBI, pp 3-10.
  • CHAP 2: M Muto, K Yao, Y Sano. Tips for obtaing optimum viewing with NBI, pp 11-30.
  • NBI Atlas: Structure: Overview/ Normal/ Nonneoplastic/ Neoplasias for Pharynx & Esophagus, Stomach, Duodenum, Colorectum & Anal Canal, pp 33-340.
English, Springer Japan 2015

Atlas of Early Neoplasias of the Gastrointestinal Tract
Endoscopic Diagnosis and Therapeutic Decisions
F Berr, T Oyama, T Ponchon, N Yahagi (eds.), 2nd ed., SPRINGER, New York

  • CHAP 1 F Berr, T Ponchon, T Uraoka. Endoscopic detection and analysis of mucosal neoplastic lesions, pp 3-24.
  • CHAP 6: T Ponchon, F Berr, T Oyama. Endoscopic Screening & Surveillance, pp 101-118.
English, 2019 book review Spanish, 2020 Russian, 2020 Chinese, 2024 German, 2023 (updated)

Endoscopic detection

with standard white light imaging (WLI on scope insertion in esophagus to colorectum), and NBI/BLI/i-scan TE in squamous cell mucosa (pharynx on scope insertion; esophagus on scope withdrawal).

Endoscopic analysis

  • macroscopic type & signs on standard WLI with insufflation / desufflation
  • microvascular pattern (V) on magnifying NBI / BLI / i-scan TE.
  • microsurface pattern (S) on magnifying (≥60-80-fold) chromoendoscopy (algorithm) or magnifying NBI / BLI (m-NBI).

Endoscopic diagnosis based on these 3 criteria → predicted pT category & grading → indication for RT

Special diagnostic criteria: CHAP 8 (Barrett) & CHAP 12 (IBD) In: Atlas of Early Neoplasias of the GIT, Springer 2019

Lectures for diagnostic Self-instruction

Resection Techniques (RT) for EC and precursor NPL

Endoscopic resection techniques (ER)

Resection Techniques Indications for en bloc ER

CHAP 3: T Oyama, N Yahagi. Principles of endoscopic resection (ER): Diagnostic and curative ER. In: Atlas of Early Neoplasias of the GIT, 2019, pp 47-53.

Surgical resection with lymphadenectomy (SR+LNE)

Syllabus ESD Hands-on Workshop - Berlin 2024, p26-30 (in downloads)

Lectures on surgical resection

Histopathology of Early Mucosal Neoplasias - histologic carcinogenesis and curative resection (CR)

CR criteria

CHAP 2: D Neureiter, T Kiesslich. Histopathology of early mucosal neoplasias in the GIT.
In: Atlas of Early Neoplasias of the GIT, 2019, pp 25-45.

Quizzes for Self-Instruction

References

  • Arakawa T (chief-ed.): Learning Skills for Gastrointestinal Endoscopy. The Asahi Shimbun Comp., Tokyo, 2007
    (excellent explanation for basic skills training; but check classifications for updates)
  • CHAP 7: Oyama T. Squamous cell-lined esophagus and hypopharynx: mucosal neoplasias. In: Atlas of Early Neoplasias of the GIT, 2019 pp 121-147.
  • CHAP 8: Deprez PH, Toyonaga T. Columnar epithelium-lined (Barrett´s) esophagus: mucosal neoplasias. In: Atlas of Early Neoplasias of the GIT, 2019 pp 149-173.
  • Oyama T, et al., Prediction of the invasion depth of superficial squamous cell carcinoma based on microvessel morphology: magnifying endoscopic classification of the Japan Esophageal Society. Esophagus 2017;14: 105-112. (open access paper)
  • Goda K et al, Diagnostic utility of a novel magnifying endoscopic classification for superficial Barrett´s esophagus-related neoplasms: a nation-wide multicenter study. Esophagus 2021;18:713-723. (open access paper)
  • Yao K, et al., Detection and characterization of early gastric cancer for curative endoscopic submucosal dissection. Dig Endosc 2013;25 Suppl 1: 44-54./li>
  • Muto M, et al., Magnifying endoscopy simple diagnostic algorithm for early gastric cancer (MESDA-G). Dig Endosc 2016;28: 379-393
  • CHAP 9: Oyama T. Stomach: Mucosal neoplasias. In: Atlas of Early Neoplasias of the GIT, 2019 pp 175-222.
  • Sano Y et al, JNET classification. Dig Endosc 2016;28:526-33.
  • CHAP 11: Wagner A, Maehata T, Berr F, Yahagi N. Colorectum: mucosal neoplasias. In: Atlas of Early Neoplasias of the GIT, 2019 pp 241-289.
  • CHAP 12: Yahagi N, Maehata T, Nakayama A. Chronic inflammatory bowel disease in remission: mucosal neo-plasias. In: Atlas of Early Neoplasias of the GIT, 2019 pp 291-305.