AI Article Synopsis
- A new imaging technique called red dichromatic imaging (RDI) may improve the assessment of eosinophilic esophagitis severity compared to the traditional white-light imaging (WLI).
- In a study of 21 patients, those with higher RDI grades showed significantly higher peak eosinophil counts and more frequent heartburn symptoms.
- The findings suggest that RDI offers a more accurate way to evaluate the severity of eosinophilic infiltration in the esophagus.
Article Abstract
Background And Aims: The endoscopic reference score using white-light imaging (WLI) is utilized for objectively evaluating the severity of findings in patients with eosinophilic esophagitis. A novel image-enhanced endoscopy technique, red dichromatic imaging (RDI), can visualize deeper vessels in the GI tract, which may assess edema more precisely than WLI.
Methods: A total of 21 consecutive patients with eosinophilic esophagitis were prospectively evaluated. Patients were categorized according to 3 grades based on the visibility of vessels with RDI. Clinical features, such as peak eosinophil counts and presence of symptoms, were reviewed.
Results: There were 10 patients with RDI Grade 0/1 and 11 patients with RDI Grade 2. Peak eosinophil counts and the prevalence of heartburn were significantly higher in patients with RDI Grade 2 than in patients with RDI Grade 0/1.
Conclusions: The severity of eosinophilic infiltration could be predicted more precisely using RDI than by evaluations with WLI.
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| http://dx.doi.org/10.1016/j.gie.2024.02.007 | DOI Listing |
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