Ultra‐high Magnification Endoscopy of the Normal Esophageal Mucosa
Ultra‐high Magnification Endoscopy of the Normal Esophageal Mucosa
复制标题
正常食管粘膜的超高倍放大内镜检查
DOI：
10.1111/j.1443-1661.1996.tb00429.x
复制
发表时间：
1996
影响因子：
5.3
通讯作者：
M. Endo
中科院分区：
文献类型：
--
作者：
H. Inoue;Tohru Honda;Tatsuya Yoshida;T. Nishikage;T. Nagahama;Ken;K. Nagai;T. Kawano;K. Yoshino;M. Tani;K. Takeshita;M. Endo
摘要：采用超高倍内镜（UHM）对正常食管黏膜进行详细观察。UHM内窥镜具有8到150倍的放大能力。高质量的UHM内窥镜图像可以通过在UHM内窥镜尖端附着2mm深度的软远端附件而连续获得。血管结构，从粘膜下血管延伸到粘膜层，可以连续可见，从而显示特征性的细血管网络模式，以及上皮内的毛细血管。在UHM内窥镜下，可以清楚地显示毛细血管为单环血管，我们称之为“毛细血管内环”。这些结构不能用普通的放大内窥镜观察，它只能放大35倍。我们得出结论，一种获得高分辨率内窥镜图像的技术已经建立。所获得的图像有助于阐明食管粘膜的微观结构，特别是细血管网络和新发现的乳头内袢。
Abstract: The normal esophageal mucosa was observed in detail using ultra‐high magnification endoscopy (UHM endoscopy). The UHM endoscope has a magnification capacity ranging from eight to 150x. High‐quality UHM endoscopic pictures can be continuously obtained by attaching a 2‐mm depth soft distal attachment to the tip of the UHM endoscope. The vascular architecture, which extends from the submucosal vessels through the proper mucosal layer, can be continuously visualized, thereby demonstrating the characteristic fine‐vascular network pattern, and the intrapapillary capillaries in the epithelium. With UHM endoscopy, intrapapillary capillaries can be clearly demonstrated as single loop vessels which we have termed “intrapapillary loops.” These structures cannot be observed with an ordinary magnifying endoscope which is capable of only 35x magnification. We conclude that a technique for obtaining high‐resolution endoscopic pictures has been established. The images obtained are useful for elucidating the microstructure of the esophageal mucosa, especially the fine‐vascular network and the newly recognized intrapapillary loop.