Near-focus narrow-band imaging for endoscopic assessment of duodenal villi: Making the case more than ever?

Examination of the duodenal mucosa is necessary to rule out, rule in, and monitor various digestive disorders and is a common indication for EGD. Celiac disease (CD), a complex, polygenic, gluten-induced inflammatory enteropathy, is a hallmark example of a disorder wherein duodenal mucosal examination plays a fundamental role  in clinical management. EGD has the benefit of facilitating direct and expedient assessment in this regard, and in CD, several classic endoscopic manifestations may be observed, including mucosal fissuring (ie, “cracked mud appearance”), scalloping or loss of the valvulae conniventes, and of c ourse villous atrophy (VA).
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Editorial Source Type: research