Spraying l‐menthol enhances gastric intestinal metaplasia in linked color imaging

Abstract

Recently, there have been some reports that image‐enhanced endoscopy (IEE) may be useful for detection of gastric intestinal metaplasia (GIM) (1, 2). Linked color imaging (LCI) enables noninvasive detection of GIM as a lavender color, which is called lavender color sign (LCS) (3). Spraying l‐menthol directly onto the gastric antral mucosa is useful for anti‐peristalsis. As a secondary effect of spraying l‐menthol, Mori et al. reported annular‐reticular‐like mucosal changes that were mucosal morphologic changes.

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