Narrow Band Imaging and High Resolution Endoscopy with Magnification Could Be Useful in Identifying Gastric Atrophy

Excerpt

We read the paper by Eshmuratov et al. [1] with interest. The authors have reported poor correlation of standard endoscopic findings with histological diagnosis of gastric atrophy in a large cohort. The sensitivity and specificity of endoscopy for diagnosis of gastric atrophy was poor at around 60%. In countries with high incidence of gastric cancer, early identification of gastric atrophy would help to tailor the surveillance needs for patients. This is particularly important in young patients and those with mild atrophy. They have concluded that the endoscopic diagnosis of atrophy was not accurate, especially in those who are less than 50 years old and with mild histological atrophy. It should be noted that the report is from a center with large experience in gastric cancer surveillance. …