Barrett''s esophagus problems of endoscopy identfication and treatment
In the article there can be observed analysis of diagnostics value of different methods of endoscopic examination with histological verification of Barrett's esophagus (BE). There were examined using a routine method - 1252 patients,using chromo-endoscopy - 81 patient examinations in the mode of endoscope narrowband imaging system with magnifying (NBI-ME) - 113, control examinations after NBI-ME argon plasma coagulation centers of intestinal metaplasia type II - 15 patients. The results showed that the detection rate of Barrett's esophagus increased significantly during the inspection NBI-ME - 56.6 % (in coincidence with the histology 90.6 %) compared with routine inspection - 1.7 % (in coincidence with the histology 47.6 %). Intestinal metaplasia (IM) when viewed from NBI-ME in 5.7 % corresponded to type II, which was observed only in combination with IM type I, according to the histological conclusion. In most cases, detection of BE during the inspection in the regime dominated by NBI-ME endoscopic picture of nonerosive reflux esophagitis - 89.2 %, which by histological criteria in 50 % of cases, differentiated as a mild inflammation of the mucous membrane. In this case the length of BE in 54.6 % corresponded to an ultrashort segment.