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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Med+Life
2015 ; 8
(4
): 416-22
Nephropedia Template TP
J Med Life
2015[Oct]; 8
(4
): 416-22
PMID26664462
show ga
Background. A substantial advance in digestive endoscopy that has been made
during the last decade is represented by digital chromoendoscopy, which was
developed as a quicker and sometimes better alternative to the gold standard of
dye spraying. Fujifilm developed a virtual coloration technique called Flexible
spectral Imaging Color Enhancement (FICE). FICE provides a better detection of
lesions of "minimal" esophagitis, of dysplasia in Barrett's esophagus and of
squamous cell esophageal cancer. The use of FICE resulted in an improvement in
the visualization of the early gastric cancer, being less invasive, and time
consuming than the classic dye methods. Current evidence does not support FICE
for screening purposes in colon cancer but it definitely improves
characterization of colonic lesions. Its use in inflammatory bowel disease is
still controversial and in video capsule endoscopy is considered a substantial
progress. Conclusions. The use of FICE endoscopy in routine clinical practice can
increase the diagnostic yield and can provide a better characterization of
lesions. Future studies to validate its use, the good choice of channels, and the
"perfect indications" and to provide common definitions and classifications are
necessary.