Surface maturation scoring for oesophageal squamous intraepithelial neoplasia: a novel diagnostic approach inspired by first endomicroscopic 3-dimensional reconstruction.

Abstract:

OBJECTIVE:Loss of surface maturation and cytonuclear atypia have been regarded as the pathological 'gold standard' for the diagnosis of oesophageal squamous cell intraepithelial neoplasia. However, there has been no satisfactory endomicroscopic method similar to this pathological approach to detect surface maturation and screen for oesophageal squamous cell intraepithelial neoplasia. The aim of this study was to apply a 3-dimensional (3D) confocal endomicroscopic imaging technique to investigate the surface maturation of the oesophageal epithelium and develop new 2-dimensional confocal endomicroscopic criteria based on surface maturation. DESIGN:In the 3D reconstruction phase, intrapapillary capillary loops were reconstructed to demonstrate the stereo configuration of the oesophageal epithelium, and a novel surface maturation scoring (SMS) method for plane confocal images was developed based on the interpretation of the 3D microstructure. In the SMS diagnostic phase, 1214 patients were screened and confocal images from 64 non-invasive oesophageal lesions were independently evaluated using SMS and previous methods. RESULTS:We successfully obtained and interpreted 3D confocal images of the human oesophageal epithelium for the first time. The sensitivity (81.0%, 95% CI 58.1% to 94.6%) and specificity (90.7%, 95% CI 77.9% to 97.4%) of the newly established SMS were superior to previous confocal approaches in distinguishing squamous intraepithelial neoplasia from other non-invasive lesions. CONCLUSIONS:3D confocal endomicroscopic imaging provides valuable insight into the stereo configuration of the human oesophageal epithelium. SMS is a novel and promising diagnostic method to distinguish neoplasia during ongoing endoscopy.

journal_name

Gut

journal_title

Gut

authors

Li M,Zuo XL,Yu T,Gu XM,Zhou CJ,Li Z,Liu H,Ji R,Dong YY,Li CQ,Li YQ

doi

10.1136/gutjnl-2011-301946

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

1547-55

issue

11

eissn

0017-5749

issn

1468-3288

pii

gutjnl-2011-301946

journal_volume

62

pub_type

临床试验,杂志文章

相关文献

GUT文献大全
  • Effect of folic acid supplementation on genomic DNA methylation in patients with colorectal adenoma.

    abstract:BACKGROUND AND AIMS:A low dietary folate intake can cause genomic DNA hypomethylation and may increase the risk of colorectal neoplasia. The hypothesis that folic acid supplementation increases DNA methylation in leucocytes and colorectal mucosa was tested in 31 patients with histologically confirmed colorectal adenoma...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.2004.054718

    authors: Pufulete M,Al-Ghnaniem R,Khushal A,Appleby P,Harris N,Gout S,Emery PW,Sanders TA

    更新日期:2005-05-01 00:00:00

  • Effect of Helicobacter pylori eradication on development of dyspeptic and reflux disease in healthy asymptomatic subjects.

    abstract:BACKGROUND AND AIM:There are few data on the course of Helicobacter pylori infection in asymptomatic subjects. The aim of this study was to assess the effect of eradication therapy on the development of dyspeptic and gastro-oesophageal reflux disease in a cohort of asymptomatic individuals observed over a prolonged per...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.11.1543

    authors: Vaira D,Vakil N,Rugge M,Gatta L,Ricci C,Menegatti M,Leandro G,Holton J,Russo VM,Miglioli M

    更新日期:2003-11-01 00:00:00

  • Hypnotherapy in severe irritable bowel syndrome: further experience.

    abstract::Fifteen patients with severe intractable irritable bowel syndrome previously reported as successfully treated with hypnotherapy, have now been followed up for a mean duration of 18 months. All patients remain in remission although two have experienced a single relapse overcome by an additional session of hypnotherapy....

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.4.423

    authors: Whorwell PJ,Prior A,Colgan SM

    更新日期:1987-04-01 00:00:00

  • Expression and penetrance of the hereditary pancreatitis phenotype in monozygotic twins.

    abstract:BACKGROUND:Hereditary pancreatitis (HP) is a rare autosomal dominant disorder with variable expression and an overall lifetime penetrance of 80%. We hypothesised that (1) monozygotic twins within similar environments would develop the typical signs of HP at a similar age, and (2) if penetrance were due to modifier gene...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.48.4.542

    authors: Amann ST,Gates LK,Aston CE,Pandya A,Whitcomb DC

    更新日期:2001-04-01 00:00:00

  • Mesalazine and thymoquinone attenuate intestinal tumour development in Msh2(loxP/loxP) Villin-Cre mice.

    abstract:OBJECTIVE:Lynch syndrome is caused by germline mutations in DNA mismatch repair genes leading to microsatellite instability (MSI) and colorectal cancer. Mesalazine, commonly used for the treatment of UC, reduces MSI in vitro. Here, we tested natural compounds for such activity and applied mesalazine and thymoquinone in...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2014-307663

    authors: Kortüm B,Campregher C,Lang M,Khare V,Pinter M,Evstatiev R,Schmid G,Mittlböck M,Scharl T,Kucherlapati MH,Edelmann W,Gasche C

    更新日期:2015-12-01 00:00:00

  • Cellular detection of sst2A receptors in human gastrointestinal tissue.

    abstract:BACKGROUND AND AIMS:Many neuroendocrine gastrointestinal tumours express receptors for the regulatory peptide somatostatin. Among the five existing somatostatin receptor (sst) subtypes, sst2A is the most frequently expressed in these tumours. However, little information is available about the cellular location of sst2A...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2004.042002

    authors: Gugger M,Waser B,Kappeler A,Schonbrunn A,Reubi JC

    更新日期:2004-10-01 00:00:00

  • Lactate and pH in faeces from patients with colonic adenomas or cancer.

    abstract::Earlier studies have reported that faecal pH is more alkaline in patients with colonic cancer, indicating a reduction in colonic carbohydrate fermentation to organic acids. The pH of faeces from 11 pre and 14 postoperative, selected colonic cancer patients without intestinal obstruction, major loss of appetite or weig...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.5.625

    authors: Hove H,Rye Clausen M,Brøbech Mortensen P

    更新日期:1993-05-01 00:00:00

  • Zollinger-Ellison syndrome type 1: clinical and pathological correlations in a case.

    abstract::Some patients with the Zollinger-Ellison syndrome appear to have hypergastrinaemia and hyperplasia of the antral G cells but no tumour. This subgroup has been classified as Zollinger-Ellison syndrome type 1. We have treated such a patient by vagotomy and antrectomy, the fasting plasma gastrin and acid secretion subseq...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.14.1.25

    authors: Cowley DJ,Dymock IW,Boyes BE,Wilson RY,Stagg BH,Lewin MR,Polak JM,Pearse AG

    更新日期:1973-01-01 00:00:00

  • Abdominal decompression plays a major role in early postparacentesis haemodynamic changes in cirrhotic patients with tense ascites.

    abstract:BACKGROUND:Some cirrhotic patients with tense ascites who undergo paracentesis develop a circulatory dysfunction syndrome, manifested by an increase in plasma renin activity. Recently, a significant inverse correlation between postparacentesis changes in plasma renin activity and systemic vascular resistance has been d...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.48.3.384

    authors: Cabrera J,Falcón L,Gorriz E,Pardo MD,Granados R,Quinones A,Maynar M

    更新日期:2001-03-01 00:00:00

  • Twenty four hour manometric recording of colonic motor activity in healthy man.

    abstract::The motor activity of the transverse, descending, and sigmoid colon was recorded for 24 hours in 14 healthy volunteers with a colonoscope positioned catheter. During the study the patients ate two 1000 kcal mixed meals and one continental breakfast. Colonic motor activity was low before meals and minimal during sleep;...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.1.17

    authors: Narducci F,Bassotti G,Gaburri M,Morelli A

    更新日期:1987-01-01 00:00:00

  • Response to autoimmune enteropathy to cyclosporin A therapy.

    abstract::Small bowel enteropathies that are associated with an autoimmune process are often resistant to treatment. Two children with autoimmune enteropathy were treated with cyclosporin A for eight months. Both improved, as assessed by growth, small intestinal mucosal morphology, and carbohydrate absorption. Cyclosporin A is ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.11.1421

    authors: Sanderson IR,Phillips AD,Spencer J,Walker-Smith JA

    更新日期:1991-11-01 00:00:00

  • Helicobacter pylori infection in patients with early gastric cancer by the endoscopic phenol red test.

    abstract:BACKGROUND:An endoscopic procedure that uses a pH indicator called phenol red to assess Helicobacter pylori infected gastric mucosa has recently been developed. This test makes it possible to take biopsy specimens from H pylori infected areas. AIM:This test was applied to patients with early gastric cancers to clarify...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.42.1.20

    authors: Iseki K,Tatsuta M,Iishi H,Baba M,Ishiguro S

    更新日期:1998-01-01 00:00:00

  • Survival and cause specific mortality in patients with inflammatory bowel disease: a long term outcome study in Olmsted County, Minnesota, 1940-2004.

    abstract:BACKGROUND AND AIMS:We followed a population based cohort of patients with inflammatory bowel disease (IBD) from Olmsted County, Minnesota, in order to analyse long term survival and cause specific mortality. MATERIAL AND METHODS:A total of 692 patients were followed for a median of 14 years. Standardised mortality ra...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2005.079350

    authors: Jess T,Loftus EV Jr,Harmsen WS,Zinsmeister AR,Tremaine WJ,Melton LJ 3rd,Munkholm P,Sandborn WJ

    更新日期:2006-09-01 00:00:00

  • The gastric response to a transpyloric duodenal tube.

    abstract::The quantification of gastric, pancreatic, biliary, and small bowel functions in man often requires the use of intestinal tubes. In this study, the presence of a transpyloric tube did not alter gastric emptying, acid secretion, or serum gastrin levels in response to an ordinary solid meal. ...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.16.10.777

    authors: Longstreth GF,Malagelada JR,Go VL

    更新日期:1975-10-01 00:00:00

  • Sulforaphane targets pancreatic tumour-initiating cells by NF-kappaB-induced antiapoptotic signalling.

    abstract:BACKGROUND AND AIMS:Emerging evidence suggests that highly treatment-resistant tumour-initiating cells (TICs) play a central role in the pathogenesis of pancreatic cancer. Tumour necrosis factor-related apoptosis-inducing ligand (TRAIL) is considered to be a novel anticancer agent; however, recent studies have shown th...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2008.149039

    authors: Kallifatidis G,Rausch V,Baumann B,Apel A,Beckermann BM,Groth A,Mattern J,Li Z,Kolb A,Moldenhauer G,Altevogt P,Wirth T,Werner J,Schemmer P,Büchler MW,Salnikov AV,Herr I

    更新日期:2009-07-01 00:00:00

  • Increased concanavalin A induced suppression in treated and untreated coeliac disease.

    abstract::The generation of suppression by concanavalin A in peripheral blood mononuclear cells in treated and untreated coeliac subjects using an in vitro assay was found to be significantly increased when compared with controls. The response of peripheral blood mononuclear cells to the plant mitogen concanavalin A (con A) was...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.25.6.644

    authors: O'Farrelly C,McKeever U,Feighery C,Weir DG

    更新日期:1984-06-01 00:00:00

  • Changes in oesophageal wall biomechanics after portal vein banding and variceal sclerotherapy measured by a new technique. An experimental study in rabbits.

    abstract::The biomechanical properties of the oesophageal wall were investigated in a rabbit model using a four electrode impedance technique. A specially designed probe with the electrodes inside a low pressure expandable insulating latex balloon was introduced in the oesophagus. Stepwise inflation and deflation was done for a...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.29.12.1699

    authors: Gregersen H,Jensen LS,Djurhuus JC

    更新日期:1988-12-01 00:00:00

  • Rôle of calcitonin in diarrhoea associated with medullary carcinoma of the thyroid.

    abstract::Severe watery diarrhoea in a patient with medullary thryoid carcinoma and high calcitonin levels was associated with increased distal ileal flow. Plasma from the patient inhibited small intestinal fluid absorption in dogs without affecting mucosal cyclic AMP levels. When calcitonin was removed from the plasma, the eff...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.20.7.629

    authors: Cox TM,Fagan EA,Hillyard CJ,Allison DJ,Chadwick VS

    更新日期:1979-07-01 00:00:00

  • Fatty acid ethyl ester synthase inhibition ameliorates ethanol-induced Ca2+-dependent mitochondrial dysfunction and acute pancreatitis.

    abstract:OBJECTIVE:Non-oxidative metabolism of ethanol (NOME) produces fatty acid ethyl esters (FAEEs) via carboxylester lipase (CEL) and other enzyme action implicated in mitochondrial injury and acute pancreatitis (AP). This study investigated the relative importance of oxidative and non-oxidative pathways in mitochondrial dy...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2012-304058

    authors: Huang W,Booth DM,Cane MC,Chvanov M,Javed MA,Elliott VL,Armstrong JA,Dingsdale H,Cash N,Li Y,Greenhalf W,Mukherjee R,Kaphalia BS,Jaffar M,Petersen OH,Tepikin AV,Sutton R,Criddle DN

    更新日期:2014-08-01 00:00:00

  • Cerebral blood flow and metabolism in hepatic cirrhosis before and after portacaval shunt operation.

    abstract::It has been demonstrated that cardiac output and pulmonary, gastroduodenal, pancreatic, and splenic blood flow increases after portacaval shunt operations. This report concerns a study of cerebral haemodynamics and metabolism in eight patients with cirrhosis of the liver, examined both before and after portacaval surg...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.10.11.894

    authors: Bianchi Porro G,Maiolo AT,Della Porta P

    更新日期:1969-11-01 00:00:00

  • Comparison of the hepatic clearances of campesterol, sitosterol, and cholesterol in healthy subjects suggests that efflux transporters controlling intestinal sterol absorption also regulate biliary secretion.

    abstract:BACKGROUND:Recently identified ABCG5/8 transporters are responsible in part for the different absorption rates of campesterol, sitosterol, and cholesterol. These transporters are also expressed in the liver and might regulate biliary sterol secretion. AIMS:This study was therefore conducted to determine the biliary se...

    journal_title:Gut

    pub_type: 临床试验,杂志文章

    doi:10.1136/gut.51.6.860

    authors: Sudhop T,Sahin Y,Lindenthal B,Hahn C,Lüers C,Berthold HK,von Bergmann K

    更新日期:2002-12-01 00:00:00

  • Oral budesonide is as effective as oral prednisolone in active Crohn's disease. The Global Budesonide Study Group.

    abstract:BACKGROUND:The use of corticosteroids in active Crohn's disease often becomes limited by side effects. Budesonide is a potent corticosteroid with low systemic bioavailability due to an extensive first pass liver metabolism. AIMS:To compare the efficacy and safety of two dosage regimens of budesonide and prednisolone i...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.41.2.209

    authors: Campieri M,Ferguson A,Doe W,Persson T,Nilsson LG

    更新日期:1997-08-01 00:00:00

  • Mucosal adaptation to indomethacin induced gastric damage in man--studies on morphology, blood flow, and prostaglandin E2 metabolism.

    abstract::The effect of 28 days' continuous administration of oral indomethacin on gastroduodenal morphology, gastric mucosal blood flow, and gastric mucosal prostaglandin E2 (PGE2) metabolism in man was studied to define further the mechanisms of mucosal injury induced by indomethacin. Indomethacin caused acute gastroduodenal ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.2.164

    authors: Shorrock CJ,Rees WD

    更新日期:1992-02-01 00:00:00

  • Apple polyphenol extracts prevent damage to human gastric epithelial cells in vitro and to rat gastric mucosa in vivo.

    abstract:BACKGROUND:Fresh fruit and vegetables exert multiple biological effects on the gastrointestinal mucosa. AIM:To assess whether apple extracts counteract oxidative or indomethacin induced damage to gastric epithelial cells in vitro and to rat gastric mucosa in vivo. METHODS:Apple extracts were obtained from freeze drie...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2004.046292

    authors: Graziani G,D'Argenio G,Tuccillo C,Loguercio C,Ritieni A,Morisco F,Del Vecchio Blanco C,Fogliano V,Romano M

    更新日期:2005-02-01 00:00:00

  • No harm from five year ingestion of oats in coeliac disease.

    abstract:BACKGROUND:Six to 12 months of ingestion of moderate amounts of oats does not have a harmful effect in adult patients with coeliac disease. As the safety of long term intake of oats in coeliac patients is not known, we continued our previous 6-12 month study for five years. AIM:To assess the safety of long term ingest...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.50.3.332

    authors: Janatuinen EK,Kemppainen TA,Julkunen RJ,Kosma VM,Mäki M,Heikkinen M,Uusitupa MI

    更新日期:2002-03-01 00:00:00

  • Hydrophobic adhesin of E coli in ulcerative colitis.

    abstract::Pathogenic E coli have adhesive properties which are mirrored by an increase in their surface hydrophobicity. E coli isolated from patients with ulcerative colitis possess a mannose resistant adhesin similar to that found in pathogenic E coli. In this study 42 E coli isolates from patients with colitis have been compa...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.29.1.41

    authors: Burke DA,Axon AT

    更新日期:1988-01-01 00:00:00

  • Efficient gene delivery to the inflamed colon by local administration of recombinant adenoviruses with normal or modified fibre structure.

    abstract:BACKGROUND/AIMS:Replication deficient recombinant adenoviruses represent an efficient means of transferring genes in vivo into a wide variety of dividing and quiescent cells from many different organs. Although the gastrointestinal tract is a potentially attractive target for gene therapy approaches, only a few studies...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.44.6.800

    authors: Wirtz S,Galle PR,Neurath MF

    更新日期:1999-06-01 00:00:00

  • Butyrate downregulates alpha2beta1 integrin: a possible role in the induction of apoptosis in colorectal cancer cell lines.

    abstract:BACKGROUND:Integrins mediate cell matrix adhesion and regulate cell growth and survival. In colonic epithelial cells, alpha(2)beta(1) integrin controls glandular differentiation and proliferation. Butyrate stimulates differentiation and induces apoptosis in vitro. AIMS:We investigated whether butyrate induction of apo...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.5.729

    authors: Buda A,Qualtrough D,Jepson MA,Martines D,Paraskeva C,Pignatelli M

    更新日期:2003-05-01 00:00:00

  • Interobserver variation in assessment of gastroduodenal lesions associated with non-steroidal anti-inflammatory drugs.

    abstract::Video endoscopic images were used to investigate whether gastroenterologists could agree on the definition of lesions within the stomach seen at endoscopy, with particular reference to those seen in patients taking non-steroidal anti-inflammatory drugs. Seven experienced endoscopists, unaware of the patients' clinical...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.8.1030

    authors: Hudson N,Everitt S,Hawkey CJ

    更新日期:1994-08-01 00:00:00

  • Faecal stasis in proctocolitis.

    abstract::Six cases of faecal stasis in active proctocolitis are reported. In each case the left colon was severely diseased but the right colon was unaffected. X-ray studies showed retention of barium in the right colon for as long as five weeks. In two patients subacute intestinal obstruction developed and in three patients c...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.3.4.301

    authors: Lennard-Jones JE,Langman MJ,Jones FA

    更新日期:1962-12-01 00:00:00