 Chromoendoscopy has been used routinely in some centers during upper gastrointestinal UGI endoscopy in an attempt to improve mucosal contrast and detect subtle mucosal lesions4. However, this is not the norm in most centers due to the inconvenience of dye spray. Narrow band imaging NBI facilitates the examination of the mucosal surface without a need for chromoendoscopy. It is based on the principle that the depth of penetration of light is wavelength dependent, with shorter wavelengths resulting in more superficial penetration i.e. blue light penetrates most superficially mucosal imaging while red light penetrates the deepest submucosal imaging. In NBI a rotating interference narrow band filter is interposed after the xenon light source such that when the NBI mode is switched on, discrete blue and green wavelengths are used and this improves mucosal surface contrast and facilitates visualization of mucosal details5. Magnifying endoscopy ME is useful in assessing the gastric mucosal pit pattern and microvessel of gastric mucosal lesions, thus providing the possibility of predicting the histological nature of the mucosal lesion. Studies from Japan, a country with a high population risk for gastric cancer, which were based on preselected high risk patients or patients with known precancerous lesions or EGC, showed that NBI and NBI-ME could diagnose precancerous lesions such as intestinal metaplasia IM6 as well as EGC7-11. 