Endoscopic observation method and composition for improving diagnostic performance involving applying useful white opaque substance to diagnosis of gastric epithelial tumors (adenoma or gastric cancer)
To develop a clinically useful composition and an endoscopic observation method that utilizes WOS properties. The composition for improving diagnostic performance, containing lipids as a component is characterized in that, by administering or loading said composition orally, by intubation or via an endoscope, the lipids are absorbed by gastric tumors, facilitating the detection of tumors and qualitative diagnoses by endoscope. Tumors are thus whitened by administering or loading this composition for improving diagnostic performance prior to endoscopic observation, making it easier to discover and qualitatively diagnose tumors by endoscopic observation.
1. A method for the detection of gastric neoplasia in a patient, comprising:
administering or loading a composition to the patient orally, intraluminally by a tube, or endoscopically, said composition being in a liquid form and comprising a lipid selected from one or more than one of a simple lipid, a compound lipid and a derived lipid, said lipid being in a form of micelles which are composed of a bile acid, a monoglyceride, a fatty acid, a phospholipid selected from a group consisting of phosphatidic acid, biphosphatidic acid, lecithin, cephalin, phosphatidyl ethanolamine, phosphatidyl methylethanolamine, phosphatidylserine, phosphatidylinositol, phosphatidyldycerin, disphosphatidylglycerin and sterol,
wherein, if the patient has the gastric neoplasia, the lipid of the composition is absorbed into epithelial cells of the gastric neoplasia in the patient accumulating and forming the lipid of the composition to fat droplets which are visualized as white opaque substance accumulation in the epithelial cells thereof;
carrying out endoscopic examination to detect said fat droplets of the white opaque substance accumulation in the epithelial cells of the gastric neoplasia; and
performing a morphological analysis for said fat droplets of the white opaque substance accumulation detected in the epithelial cells of the gastric neoplasia by the endoscopic examination to determine a morphological state of the gastric neoplasia.
2. The method according to claim 1 ,
wherein endoscopic examination
is carried out via NBI-combined magnifying endoscopy.
3. The method according to claim 1 ,
wherein said morphological analysis includes observation of the morphological state of the fat droplets of the white opaque substance accumulation as to whether it is symmetrical or asymmetrical and determination that a symmetrical morphological state is a benign neoplasia and an asymmetrical morphological state is a malignant neoplasia.
4. The method according to claim 2 , wherein said NBI-combined magnifying endoscopy is carried out for detecting or visualizing a pattern of minute blood vessels whose detection or visualization is obstructed by the presence of the fat droplets of the white opaque substance in a lesion detected by ordinary endoscopy without magnification.