Abstract
Simple SummaryThroughout the years, endoscopic technologies have advanced to facilitate better assessment of gastric lesions and early detection of gastric cancer. With improvements in conventional white light endoscopy, we have also witnessed the development of newer endoscopic diagnostic modalities, giving rise to several classifications for early gastric cancer. Different endoscopic classifications of early gastric based on several endoscopic diagnostic modalities were included in this review. In addition to this, newer and novel endoscopic classifications that were specifically developed for the stomach for assessing and diagnosing gastric lesions have also been included. Illustrative representations of each classification have also been provided to aid readers in better understanding of these endoscopic classifications of early gastric cancer.Endoscopic technologies have been continuously advancing throughout the years to facilitate improvement in the detection and diagnosis of gastric lesions. With the development of different endoscopic diagnostic modalities for EGC, several classifications have been advocated for the evaluation of gastric lesions, aiming for an early detection and diagnosis. Sufficient knowledge on the appearance of EGC on white light endoscopy is fundamental for early detection and management. On the other hand, those superficial EGC with subtle morphological changes that are challenging to be detected with white light endoscopy may now be clearly defined by means of image-enhanced endoscopy (IEE). By combining magnifying endoscopy and IEE, irregularities in the surface structures can be evaluated and highlighted, leading to improvements in EGC diagnostic accuracy. The main scope of this review article is to offer a closer look at the different classifications of EGC based on several endoscopic diagnostic modalities, as well as to introduce readers to newer and novel classifications, specifically developed for the stomach, for the assessment and diagnosis of gastric lesions.
Highlights
With the development of different endoscopic diagnostic modalities for Early gastric cancer (EGC), several classifications have been advocated for the evaluation of gastric lesions, aiming for an early detection and diagnosis
We offer a closer look at the different endoscopic classifications of EGC based on several endoscopic diagnostic modalities, as well as introduce readers to newer and novel classifications, developed for the stomach, for the assessment and diagnosis of gastric lesions
These results showed that utilizing the Paris classification during white light endoscopy is an effective screening method with a high precision for the diagnosis of EGC; the reason why it is still the most widely used endoscopic classification for identifying and describing
Summary
Mary Raina Angeli Fujiyoshi * , Haruhiro Inoue, Yusuke Fujiyoshi, Yohei Nishikawa, Akiko Toshimori. Simple Summary: Throughout the years, endoscopic technologies have advanced to facilitate better assessment of gastric lesions and early detection of gastric cancer. With improvements in conventional white light endoscopy, we have witnessed the development of newer endoscopic diagnostic modalities, giving rise to several classifications for early gastric cancer. Different endoscopic classifications of early gastric based on several endoscopic diagnostic modalities were included in this review. Newer and novel endoscopic classifications that were developed for the stomach for assessing and diagnosing gastric lesions have been included. Illustrative representations of each classification have been provided to aid readers in better understanding of these endoscopic classifications of early gastric cancer.
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