title: Using narrow-band imaging with conventional hysteroscopy increases the detection of chronic endometritis in abnormal uterine bleeding and postmenopausal bleeding.
abstract: OBJECTIVE
  A preliminary study was designed to evaluate whether a narrow-band imaging (NBI) endoscopic light source could detect chronic endometritis that was not identifiable with a white light hysteroscope.
  
  
  METHODS
  A total of 86 patients with endometrial pathology (71 abnormal uterine bleeding and 15 postmenopausal bleeding) were examined by NBI endoscopy and white light hysteroscopy between February 2010 and February 2011. The surgeon initially observed the uterine cavity using white light hysteroscopy and made a diagnostic impression, which was recorded. Subsequently, after pressing a button on the telescope, NBI was used to reevaluate the endometrial mucosa.
  
  
  RESULTS
  The median age of the patients was 40 years (range: 30-60 years). Endometritis was diagnosed histologically. Six cases of abnormal uterine bleeding (6/71, 8.4%, 95% confidence interval [CI] 0.03-0.17) and one case of postmenopausal bleeding (1/15, 6%, 95%CI 0.01-0.29) were only diagnosed with chronic endometritis by NBI (7/86, 8.1%, 95%CI 0.04-0.15).
  
  
  CONCLUSIONS
  Capillary patterns of the endometrium can be observed by NBI and this method can be used to assess chronic endometritis.
authors.affiliation: Obstetrics and Gynecology Department, Etimesgut Military Hospital, Ankara, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ozturk
authors.affiliation: Department of Obstetrics and Gynecology, Gulhane Military Medical Academy and Medical School, Ankara, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ulubay
authors.affiliation: Department of Obstetrics and Gynecology, Gulhane Military Medical Academy and Medical School, Ankara, Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Alanbay
authors.affiliation: Department of Obstetrics and Gynecology, Gulhane Military Medical Academy and Medical School, Ankara, Turkey.
authors.forename: Uğur
authors.initials: U
authors.lastname: Keskin
authors.affiliation: Department of Obstetrics and Gynecology, Gulhane Military Medical Academy and Medical School, Ankara, Turkey.
authors.forename: Emre
authors.initials: E
authors.lastname: Karasahin
authors.affiliation: Department of Obstetrics and Gynecology, Gulhane Military Medical Academy and Medical School, Ankara, Turkey.
authors.forename: Müfit Cemal
authors.initials: MC
authors.lastname: Yenen
mesh_terms: D000328:Adult; D002908:Chronic Disease; D004716:Endometritis / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008875:Middle Aged; D062048:Narrow Band Imaging / Q000379:methods*; D017698:Postmenopause; D012680:Sensitivity and Specificity; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging*
keywords: endometritis; hysteroscopy; narrow‐band imaging