Linked Colour Imaging Increases the Diagnostic Yield of Type 1 Gastric Carcinoids

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Introduction: Type 1 Gastric carcinoid tumours (GCTs) are the most common neuroendocrine tumours of the stomach. Endoscopic diagnosis of Type 1 GCTs remains a challenge. White light endoscopy (WLE) and Narrow Band Imaging (NBI) have failed to demonstrate reliable endoscopic signs of carcinoid.

Aim(s): To evaluate the use of Linked Colour Imaging (LCI); the latest Fujifilm post- processing digital technology for the endoscopic diagnosis of Type 1 GCTs.

Materials and methods: Consecutive patients undergoing endoscopic surveillance of Type 1 GCTs were included. Endoscopic examination was performed using Fujifilm ELUXEOTM EG-760Z gastroscopes with imaging performed in the following sequence; WLE, blue laser imaging (BLI) and finally LCI. Lesion number, endoscopic diagnosis and Likert visibility score (1-4; poor-excellent) were recorded for each imaging modality.

Conference: 15th Annual ENETSConcerence (2018)

Presenting Author: Gulati S

Authors: Gulati S, Sriraja R, Ramage J, Emmanuel A, Haji A,

Keywords: gastric carcinoid, gastric neuroendocrine tumors, endoscopy, therapy, surveillance, polypectomy, endoscopic resection,