Progress in Digestive Diseases Diagnosis

Dear Colleagues,

In recent years, several advancements in endoscopic imaging modalities have been made, revolutionizing the diagnosis of digestive diseases and improving the quality of human life. Nowadays, sophisticated imaging technologies offer gastroenterologists an unprecedented opportunity to inspect the entire gastrointestinal tract, which results in accurate diagnoses and treatments. White light endoscopy (WLE) was the first method used for endoscopic examination and remains the mainstay of routine clinical examination. Aiming to improve accuracy, chromoendoscopy using biocompatible dye agents or optical image enhancement technologies, i.e., narrow-band imaging (NBI), have been proven efficacious in improving the detection of a plethora of digestive diseases, mainly precancerous lesions. Capsule endoscopy shed light for the very first time into the darkness of the small bowel, while its evolution (i.e., enteroscopy) has allowed the entire digestive tract to be visualized in real time, along with the simultaneous diagnosis and treatment of the pathological findings encountered. Endoscopic ultrasound (EUS) not only has established itself as the optimal examination technique for the diagnosis of pancreatobiliary disease but also is a helpful tool for the diagnosis and staging of various gastrointestinal tract lesions as well as mediastinal lesions. Novel technological improvements of EUS (elastography, contrast enhancement, EUS-guided fine-needle aspiration biopsy, etc.) have further extended its limits regarding digestive diseases diagnosis. The traditional endoscopic retrograde cholangiopancreatography (ERCP) procedure has been reshaped with the advent of new modern tools (i.e., Spyglass™) that not only provide exceptional direct visualization of the bile ducts but also enable therapeutic interventions to be performed in one session and by a single endoscopist. Implementing these enhanced technologies allows endoscopists to access the most appropriate diagnostic options and ultimately perform optimal therapeutic decisions, using minimally invasive procedures with shorter recovery times and lower complications rates compared to traditional diagnostic techniques. This Special Issue features the progress of digestive diseases diagnosis. We believe that readers will enjoy this Special Issue that aims to provide further insights into new diagnostic technologies and their clinical applicability, so that patients can benefit from the best possible care.

Dr. Ioannis S Papanikolaou
Guest Editor

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• Digestive 
• Diseases 
• Diagnosis 
• Colonoscopy 
• Gastroscopy 
• EUS 
• ERCP 
• Capsule Endoscopy