Post written by Maham Hayat, MD, and Dennis Yang, MD, FACG, FASGE, AGAF, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA.

Our video submission showcases the real-time use of novel image-enhanced endoscopy (IEE) modalities available on newer-generation video processors. Through a case series, we demonstrate how these features enhance assessment of lesion morphology and visualization of submucosal structures facilitating optical diagnosis and endoscopic resection. We also highlight their role in prompt, targeted hemostasis during advanced resection.

The IEE modalities shown in our submission are promising but relatively novel features that many endoscopists may be unfamiliar with or not using to their full potential. We felt it was important to illustrate how these modalities can be practically integrated into therapeutic procedures. By sharing real clinical examples, we aim to spotlight their benefits in lesion detection, margin delineation, submucosal dissection, and hemostasis—all critical components in successful management of GI neoplasia.

This video shares a framework of how adoption of newer IEE modalities can enhance diagnostic accuracy and therapeutic precision. These technologies may improve procedural efficiency, reduce adverse events, and allow more confident and effective endoscopic resection.

We hope this video encourages broader exploration and adoption of IEE tools in daily practice. Future studies will help define their optimal applications and impact on outcomes across various GI procedures.

Side-by-side comparison of white-light (WL) imaging and red dichromatic imaging (RDI). With RDI, the site of active bleeding appears as a darker amber color compared with the surrounding areas, reducing the background “noise” from the pooling of blood and facilitating hemostasis.

Read the full article online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.