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Surgical Endoscopy ·

Enhanced Detection with Probe-Based Confocal Laser Endomicroscopy

Probe-based confocal laser endomicroscopy (pCLE) significantly improves real-time diagnosis during endoscopy for various gastrointestinal conditions.

  • In Barrett’s esophagus, pCLE nearly doubles neoplasia detection sensitivity compared to conventional methods.
  • For gastric intestinal metaplasia, sensitivity reached 97% and specificity 94%.
  • Colorectal lesion evaluation shows sensitivity of 81-91% and specificity of 75-91%, reducing unnecessary resections.

PCLE can lead to fewer biopsies and earlier interventions, promoting better patient outcomes. Further standardization and AI integration will enhance its clinical adoption.

Review by Ayyad M, Gala D (…) Hajifathalian K et 4 al. in Surg Endosc

© 2025. The Author(s).

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