Diagnosis of Helicobacter pylori infection in gastric body with endoscopic magnification and flexible spectral imaging colour enhancement (FICE)

La endoscopia estandar no diagnostica infeccion por Helicobacter pylori. Con magnificacion y "Flexible Spectral Imaging Colour Enhancement" (FICE) se observan patrones de mucosa gastrica que sugieren su presencia. Diagnosticar infeccion por Helicobacter pylori con magnificacion endoscopica y "Flexible Spectral Imaging Colour Enhancement" (FICE). Previo consentimiento se incluyeron a los individuos con indicacion electiva de endoscopia digestiva superior. Se realizo endoscopia digestiva superior con equipo Fujinon Inc. EG 590 ZW, y procesador EPX 4400. En ambas caras del cuerpo gastrico se realizo consecutivamente: a) alta resolucion, b) magnificacion, c) alta resolucion, d)FICE, e)magnificacion y f) biopsia en el antro y del patron mas prevalente en cada cara del cuerpo evaluadas sin informacion del paciente. Todo el procedimiento se grabo, se fotografio y se guardo en JPEG en programa Power Point. Se evaluaron 60 areas en 30 pacientes: 10 hombres y 20 mujeres con edades de 20-82 anos y promedio 49,60 anos. Solo magnificacion y FICE identificaron los patrones de mucosa en cuerpo gastrico. En 37,03% se diagnostico Helicobacter pylori con histologia, 53,33% y 61,11% en patron Z2 y Z3 respectivamente. La magnificacion y FICE permiten identificar los patrones de mucosa gastrica que sugieren infeccion por Helicobacter pylori Helicobacter pylori infection is not diagnosed with standard endoscopy. With high resolution and magnification patterns of gastric mucosa suggesting its presence are observed. Diagnose Helicobacter pylori infection with endoscopic magnification and "Flexible Spectral Imaging Colour Enhancement" (FICE). Individuals scheduled to undergo routine upper gastrointestinal endoscopy were enrolled. Upper gastrointestinal endoscopy was performed with Fujinon Inc. 590 EG ZW and EPX 4400 processor. Endoscopy was practiced on both sides of the gastric body consecutively with: a) high-resolution, b) magnification, c) high-resolution, d) FICE, e) magnification and g) biopsy of the antrum and the pattern more prevalent on each side of the body evaluated without patient information. The entire procedure was recorded, was photographed and was saved in JPEG in program Power Point. 60 Areas in 30 patients were evaluated: 10 men and 20 women with ages of 20-82 years and average 49.60. Only magnification and FICE identified patterns of mucosa in gastric body. Helicobacter pylori was diagnosed in 37.03% with histology and in pattern Z2 and Z3 in 53.33% and 61.11% respectively. The endoscopic magnification and Flexible Spectral Imaging Colour Enhancement (FICE) identify patterns of gastric mucosa suggesting Helicobacter pylori infection