Diagnostic Yield of Gastric Neoplasia
Conditions
Brief summary
Early detection of gastric intestinal metaplasia (GIM) intraepithelial neoplasia (IN), and gastric cancer are essential to improve patients' outcomes. This study aims to compare the diagnostic yield of GIM, IN and early gastric cancer (EGC) by iScan combined probe-based confocal laser endomicroscopy (pCLE) and iScan alone.
Interventions
Patients will receive white-light endoscopic imaging, followed by probe-based Confocal Laser Endomicroscopy scanning on suspected lesions and 5 standardized locations. Then targeted Biopsies will be performed on locations with intestinal metaplasia, intraepithelial neoplasia, and carcinoma.
Patients will receive virtual chromoendoscopy using iScan. Standard biopsies will be performed on all suspected lesions and standardized loctaions.
Sponsors
Study design
Eligibility
Inclusion criteria
* aged between 18 and 80; * patients with previous pathologic diagnosis of atrophic gastritis, gastric intestinal metaplasia, and low-grade intraepithelial neoplasia; * agree to give written informed consent.
Exclusion criteria
* Patients with gastrectomy, acute GI bleeding, and known gastric neoplasia; * Patients under conditions unsuitable for performing CLE including coagulopathy (prothrombin time \<50% of control, partial thromboplastin time \>50 s), impaired renal function (creatinine level \>1.2 mg/dL), pregnancy or breastfeeding, and known allergy to fluorescein sodium; * Inability to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the diagnostic yield of intestinal metaplasia, intraepithelial neoplasia, and gastric cancer | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| the biopsy number needed for diagnosis | 12 months |
Countries
China