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Esophageal Case 4

Prof. Stefan Seewald​

GastroZentrum Hirslanden, Zurich

Procedure Information


Scope:GIF-EZ1500

Case: Esophageal papilloma

Organ: Esophagus

Patient information: F, 67

Medical history: Heartburn

1. WLI

#WLI #A7 structure enhancement #Auto Iris

A very small reddish area at 9 o’clock appears suspicious.

2. TXI

#TXI Mode 1 #B7 structure Enhancement #Auto Iris

Using TXI, the reddish area is becoming more prominent.

3. NBI

#NBI #NBI Color Mode 1 #B7 structure Enhancement #Auto Iris

NBI reveals a small brownish area that requires further magnification.

4. Near focus with NBI

#NBI #NBI Color Mode 1 #B7 Structure Enhancement #Auto Iris

Enlarged IPCLs with brownish background mucosa can be seen.

5. WLI

#WLI #A7 structure enhancement #Auto Iris

In the middle esophagus, further papillomas can be easily identified by WLI.

6. TXI

#TXI Mode 1 #A7 structure enhancement #Auto Iris

TXI is enhancing the distinct texture component of these lesions.

7. NBI

#NBI #NBI Color Mode 1 #B7 Structure Enhancement #Auto Iris

NBI demonstrates no pathological IPCLs.

8. WLI

#WLI #A7 structure enhancement #Auto Iris

In the lower esophagus, multiple papillomas can be identified.

9. TXI

#TXI Mode 1 #A7 structure enhancement #Auto Iris

Under TXI, the inflammatory aspect is enhanced by increased color contrast.

10. NBI

#NBI #NBI Color Mode 1 #B7 structure Enhancement #Auto Iris

Inflammatory changes around the papilloma can be seen by dilatated IPCLs.

11. Near focus with NBI

#NBI #NBI Color Mode 1 #B7 structure Enhancement #Auto Iris

There are additional subtle lesions with IPCL dilatations.

12. Lugol staining and TXI

#TXI Mode 1 + lugol staining #A7 structure enhancement #Auto Iris

Lugol staining and TXI show no typical Lugol voiding behaviour.

Case video

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