Table 1.
A summary of current available endoscopic procedures for colitis-associated colorectal cancer surveillance
Type of endoscopy | Clinical application | Limitations | References |
---|---|---|---|
Standard white-light endoscopy (with ramdom biopsies) | Increases dysplasia detection rate | Longer procedure times and cost | [24–26] |
High-definition endoscopy (with targeted biopsies) | Provides images of substantially higher resolution for dysplasia detection | Cost | [31] |
Chromoendoscopy (with targeted biopsies) | Contrast dye highlights irregularities in the mucosal architecture | Requirement for specialized equipment, additional training and longer procedure time | [30, 32, 33] |
Fujinon intelligent colour enhancement and i-Scan digital contrast | Enhances subtle changes of the mucosal surface | Limited relevant data | [34, 35] |
Narrow-band imaging | Enhances mucosal surface contrast | Lower sensitivity to detect dysplasia | [36] |
Confocal laser endomicroscopy | Makes real-time microscopy available in vivo during examination | Longer procedure time, the need for extra equipment and training, and requirement for interpreting the images | [38–40] |
Full-spectrum endoscopy | Increases visual field to increase mucosal visualization | Longer withdrawal and total procedure time | [41] |