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Endoscopy

Fluorescein contrast in confocal laser endomicroscopy

Confocal laser endomicroscopy (CLE) is an emerging technology with important applications in gastrointestinal imaging. Fluorescein, the contrast agent most commonly employed in CLE, has not yet been approved by the FDA for intravenous use with this technique in the gastrointestinal setting. A cross-sectional study suggests that fluorescein is generally safe and usually has none or only mild adverse effects in patients undergoing CLE.

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Figure 1: Confocal laser scanning endomicroscopy images with intravenous fluorescein contrast.

References

  1. Wallace, M. B. et al. The safety of intravenous fluorescein for confocal laser endomiscroscopy in the gastro-intestinal tract. Aliment. Pharmacol. Ther. 31, 548–552 (2010).

    Article  CAS  PubMed  Google Scholar 

  2. Kwan, A. S., Barry, C., McAllister, I. L. & Constable, I. Fluorescein angiography and adverse drug reactions revisited: the Lions Eye experience. Clin. Experiment. Ophthalmol. 34, 33–38 (2006).

    Article  PubMed  Google Scholar 

  3. Yannuzzi, L. A. et al. Fluorescein angiography complication survey. Ophthalmology 93, 611–617 (1986).

    Article  CAS  PubMed  Google Scholar 

  4. Johnson, R. N., McDonald, H. R. & Schatz, H. Rash, fever, and chills after intravenous fluorescein angiography. Am. J. Ophthalmol. 126, 837–838 (1998).

    Article  CAS  PubMed  Google Scholar 

  5. De Palma, G. D. Confocal laser endomicroscopy in the “in vivo” histological diagnosis of the gastrointestinal tract. World J. Gastroenterol. 15, 5770–5775 (2009).

    Article  PubMed  Google Scholar 

  6. Nguyen, N, Q. & Leong, R. W. Current application of confocal endomicroscopy in gastrointestinal disorders. J. Gastroenterol. Hepatol. 23, 1483–1491 (2008).

    Article  PubMed  Google Scholar 

  7. Leong, R. W., Chang, D., Merrett, N. D. & Biankin, A. V. Taking optical biopsies with confocal endomicroscopy. J. Gastroenterol. Hepatol. 24, 1701–1703 (2009).

    Article  PubMed  Google Scholar 

  8. Goetz, M. et al. Simultaneous confocal laser endomicroscopy and chromoendoscopy with topical cresyl violet. Gastrointest. Endosc. 70, 959–968 (2009).

    Article  PubMed  Google Scholar 

  9. Dunbar, K. & Canto, M. Confocal endomicroscopy. Curr. Opin. Gastroenterol. 24, 631–637 (2008).

    Article  PubMed  Google Scholar 

  10. Hsiung, P. et al. Detection of colonic dysplasia in vivo using a targeted heptapeptide and confocal microendoscopy. Nat. Med. 14, 454–458 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Rupert W. L. Leong.

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Paramsothy, S., Leong, R. Fluorescein contrast in confocal laser endomicroscopy. Nat Rev Gastroenterol Hepatol 7, 366–368 (2010). https://doi.org/10.1038/nrgastro.2010.83

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