Endoscopic submucosal dissection for superficial esophageal cancer overlying a submucosal tumor originating from the muscularis propria

Endoscopy DOI: 10.1055/a-0919-4278 © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Full text
Source: Endoscopy - Category: Gastroenterology Authors: Tags: E-Videos Source Type: research

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Authors: Xu ZG, Zhao YB, Yu J, Bai JY, Liu E, Tang B, Yang SM Abstract The safety and efficacy of endoscopic submucosal dissection (ESD) and radiofrequency ablation for early esophageal cancer (EEC) in cirrhotic patients has not been thoroughly investigated to date. The present study aimed to establish a standard treatment strategy for EEC in cirrhotic patients with esophageal varices. Six cirrhotic patients with early flat-type EECs (high-grade intraepithelial neoplasia) on or adjacent to esophageal varices were enrolled. Esophageal varix ligation (EVL) or transjugular intrahepatic portosystemic shunt (TIPS) were ...
Source: Oncology Letters - Category: Cancer & Oncology Tags: Oncol Lett Source Type: research
ConclusionsA simple combination of the variables age, sex and maximum BE length showed fairly good accuracy for predicting tumor progression in BE. This clinical risk prediction model may help to tailor future surveillance programs.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Purpose of review Barrett's esophagus is the premalignant condition for esophageal cancer and the diagnosis of esophageal adenocarcinoma on index endoscopy is increasing. Many advanced endoscopic techniques are available and aim to identify Barrett's esophagus-associated neoplasia earlier, thereby preventing progression into malignancy. Recent findings It is well established adherence to Seattle protocol increases dysplasia detection but leaves large portions of mucosa unsampled. Recent attention has been given to wide-area transepithelial sampling as an additional means of biopsy and shows increased dysplasia detecti...
Source: Current Opinion in Gastroenterology - Category: Gastroenterology Tags: ENDOSCOPY: Edited by Anthony N. Kalloo Source Type: research
This study is a retrospective comparative cohort which reviewed all patients diagnosed with oesophageal cancer by the Frere Hospital and GSH endoscopy units from January to December 2015. Independent prospective electronic databases for the two hospitals were merged for comparative analysis. RESULTS: During the study period, 346 and 108 patients were diagnosed with oesophageal cancer at Frere Hospital and GSH respectively. The rate of curative intended intervention was similarly low, with 3% of cases at Frere Hospital undergoing oesophagectomy or definitive radiotherapy as compared to 5% at GSH (p=0.48). In terms of pa...
Source: South African Journal of Surgery - Category: Surgery Tags: S Afr J Surg Source Type: research
Conditions:   Capsule Endoscopy;   Cancer of Stomach;   Cancer of Esophagus;   Health Policy Intervention:   Other: Medical Consortium Sponsor:   Yanqing Li Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
AbstractPurpose of ReviewThere has been an exponential increase in the incidence of esophageal adenocarcinoma (EAC) over the last half century. Barrett ’s esophagus (BE) is the only known precursor lesion of EAC. Screening for BE in high-risk populations has been advocated with the aim of identifying BE, followed by endoscopic surveillance to detect dysplasia and early stage cancer, with the intent that treatment can improve outcomes. We aimed to review BE screening methodologies currently recommended and in development.Recent FindingsUnsedated transnasal endoscopy allows for visualization of the distal esophagus, wi...
Source: Current Gastroenterology Reports - Category: Gastroenterology Source Type: research
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.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Original article Source Type: research
ConclusionThis study indicates that TME can provide better long-term HRQoL outcomes than TTE.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Abstract Esophageal cancer is on the rise. The known precursor lesion is Barrett's esophagus (BE). Patients with dysplasia are at higher risk of developing esophageal cancer. Currently the gold standard for surveillance endoscopy involves taking targeted biopsies of abnormal areas as well as random biopsies every 1-2 cm of the length of the Barrett's. Unfortunately studies have shown that this surveillance can miss dysplasia and cancer. Advanced imaging technologies have been developed that may help detect dysplasia in BE. This opinion review discusses advanced imaging in BE surveillance endoscopy and its utility ...
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
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