Preferences for Surveillance of Barrett ’s Oesophagus: a Discrete Choice Experiment
ConclusionTest sensitivity, test frequency and out-of-pocket cost were the key factors influencing surveillance uptake. Patients prefer a test with the highest sensitivity, offered frequently, that incurs no upfront costs.
Esophageal cancer is the sixth most common cause of cancer-related death worldwide, with esophageal squamous cell cancer (ESCC) being the dominant variety, particularly in developing countries.1 In China, where up to half of all cases occur, ESCC is the fourth leading cause of cancer death.2 Given the high prevalence of this disease in North Central China, an endoscopic screening program has been initiated in this high-risk region, with resultant decreases in cumulative incidence and ESCC-related death.
ConclusionThis study indicates that TME can provide better long-term HRQoL outcomes than TTE.
ConclusionWhile differences in pressure between the abdominal and thoracic cavities are important, the size of the hiatal defect is something that can be influenced surgically. As with all oncological surgery, safe resection margins are essential without adversely affecting anatomical structure and function. The commonest cause is excessive widening of the esophageal hiatus during surgery and, therefore, narrowing the hiatus to fit the conduit can prevent this complication.
Gluten? Lactose? Stomach pain? Digestive troubles? Way too many people suffer from gastrointestinal issues, and much less are aware of the digital technologies that can come to their aid. Did you know that digestibles could successfully replace the dreaded colonoscopy? Or have you heard about microbiome testing? What about the swarm of health apps supporting dietary restrictions? We took a deep breath and jumped into the universe of digital technologies just to bring you as much information about the future of gastroenterology as possible. Will you jump after us? IBS, colorectal cancer, and other animals Referring to...
Endoscopy DOI: 10.1055/a-0919-4278 © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Full text
AbstractBackgroundNCCN Guidelines of esophageal cancer recommend that endoscopic therapy is considered “preferred” for patients with limited early-stage disease less than or equal to 2 cm. However, there is currently no definite evidence to support either endoscopic therapy or esophagectomy for early esophageal cancer larger than 2 cm. We aimed to explore the optimal treatment for this conditio n.MethodsFrom January 2010 to June 2016, 116 patients with early esophageal neoplasia [high-grade dysplasia (HGD), lamina propria and muscularis mucosae (T1a) cancer, selected superficial submucosa (T1b) cancer...
Conclusion: In Feicheng population, tobacco smoking or alcohol consumption may not be risk factors of EPLs. Low-quality drinking water raised the EPLs risk. Bad house heating materials, such as cereal straw, may lead to high EPLs risk.
In patients with esophageal cancer (EC) receiving radiation therapy (RT), target volumes are established to facilitate effective therapy while minimizing radiation injury to normal tissue. Delineation of target volume at RT planning CT scan can be challenging in EC cases due to inflammation, edema and food/debris in a collapsed lumen. Endoscopic Ultrasound (EUS) guided gold fiducial placement in EC allows precise lesion targeting, with an aim to improve treatment accuracy using Image Guided Radiation Therapy (IGRT); however, data on this are limited.
Endoscopic submucosal tunnel dissection (ESTD) is generally indicated to superficial esophageal neoplastic lesions less than one-third of the esophageal circumference due to the concerns of esophageal stricture. Fully-covered self-expandable stent and steroid injection have been conventional preventive methods for esophageal stricture. Recently, an esophageal stent coated with polyglycolic acid (PGA) sheet is emerging for the promising options to prevent the esophageal stricture. Here, we report the unusual case of a 17 cm-long and 360-degree circumferential ESTD for esophageal cancer and PGA sheet-coated esophageal stents...
Head and neck carcinoma tends to happen synchronous or metachronous with esophageal carcinoma. Early cancer of pharynx is occasionally found during EGD exam, ESD is a mininally invasive treatment compared to the traditional surgery for it does not change the anatomy of the pharynx. Performing ESD in such a narrow and complicated space require skills.In this case,we finished a ESD at epiglottis sucessfully with no complication. The final pathology result was squamous cell caner(m1). no recurence was found during follow-up.