The aim of the study is to determine whether Narrow Band Imaging(NBI) should be routinely used during esophagus inspection at diagnostic gastroscopy.
Heterotopic gastric mucosa, also called inlet patch, is area of ectopic gastric mucosa with common location at proximal part of esophagus. Because of the location, lesions are likely to be missed during routine gastroscopy. The clinical significance of inlet patches remains unknown, however they may be symptomatic and may cause morphologic changes such as strictures, ulcers, webs, stenoses or even adenocarcinomas. Moreover inlet patches may be correlated with reflux symptoms up to 73,1%. Several studies were conducted to determine whether NBI improves detection of cervical inlet patches, some of them were also prospective studies, however no randomized study was conducted.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
SINGLE
Enrollment
1,000
During the endoscope withdrawal after cardia examination NBI will be used for esophagus inspection.
Whole procedure will be performed in standard High definition endoscopy.
During the endoscope withdrawal after cardia examination NBI will be used for esophagus inspection and with increased care of cervical inlet patches detection.
H-T.Centrum Medyczne Sp. z o.o. Sp. K.
Tychy, Silesian Voivodeship, Poland
Detection of heterotopic gastric mucosa in the proximal esophagus
Time frame: Day 1
Total and esophagus inspection time
Time frame: Day 1
Detection of other upper gastrointestinal lesions
Time frame: Day 1
Correlation of throat and esophageal reflux symptoms with cervical inlet patches
Time frame: Day 1
Rate of cervical inlet patches verified with NBI in endoscopies performed in standard white light endoscopy
Time frame: Day 1
Correlation of subject's subjective purpose of gastroscopy and cervical inlet patch occurrence
Time frame: Day 1
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Whole procedure will be performed in standard High definition endoscopy with increased care of cervical inlet patches detection.