Abstract: Objective  To explore the clinical significance of reform vessel plus surface classification(RVS) in the diagnosis of early gastric cancer(EGC). Methods  Totally 60 cases of EGC and precancerous lesions were retrospectively analyzed, with 46 males (76.67%) and 14 females (22.33%).  The average age of patients was (61.03±9.87) years old, and their total lesions were 63. The relationship among patients' age, gender, lesion location, and endoscopic morphological classification of lesions were observed and analyzed. Results  The most common endoscopic appearance was type Ⅱ form. And the most common sites of the lesions were cardia and antrum of the stomach. Both vessel plus surface classification(VS) and RVS had high diagnostic value for EGC diagnosis. Conclusion  Magnifying endoscopy with narrowband imaging(MENBI) and RVS classification can help identify gastric neoplasms and nonneoplastic lesions, and they also have high diagnostic value for EGC.

Key words: stomach neoplasms, endoscopy, blood vessel