Usefulness of indigo carmine chromoendoscopy for detecting gastric cancer and gastric adenoma during upper gastrointestinal endoscopy (INDIGO study): protocol for a prospective multicentre observational study - Takeaways - MDSpire

Usefulness of indigo carmine chromoendoscopy for detecting gastric cancer and gastric adenoma during upper gastrointestinal endoscopy (INDIGO study): protocol for a prospective multicentre observational study

  • By

  • Takeshi Yasuda

  • Jun Matsubayashi

  • Hideki Ishikawa

  • Kohei Takizawa

  • July 1, 2026

  • 0 min

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  • 1

    The INDIGO study aims to evaluate the efficacy of indigo carmine chromoendoscopy for detecting gastric cancer and adenomas during upper GI endoscopy.

  • 2

    This prospective multicenter observational study will enroll over 1050 patients aged 20 to 95 at high risk for gastric cancer.

  • 3

    Patients will undergo two-step gastric observation: first with white light imaging, followed by indigo carmine spraying.

  • 4

    The primary endpoint is the detection rate of gastric cancer or adenomas during the second-pass observation after indigo carmine examination.

  • 5

    The study has received ethical approval and aims to publish findings in academic conferences and peer-reviewed journals.

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