Salvage endoscopic submucosal dissection for incompletely resected esophageal or gastric neoplasms (case series)
We present our case series to discuss the feasibility of salvage ESD and the timing of the procedure. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | open access Full text
Endoscopy DOI: 10.1055/a-1104-5245In Europe at present, but also in 2040, 1 in 3 cancer-related deaths are expected to be caused by digestive cancers. Endoscopic technologies enable diagnosis, with relatively low invasiveness, of precancerous conditions and early cancers, thereby improving patient survival. Overall, endoscopy capacity must be adjusted to facilitate both effective screening programs and rigorous control of the quality assurance and surveillance systems required. 1 For average-risk populations, ESGE recommends the implementation of organized population-based screening programs for colorectal cancer, based...
Authors: Asai S, Fukaya M, Fujieda H, Igami T, Tsunoda N, Sakatoku Y, Kamei Y, Miyata K, Nagino M Abstract A 71-year-old woman with dysphagia was diagnosed with thoracic esophageal squamous cell carcinoma by endoscopic biopsy at another hospital. She had previously undergone partial breast excision with axillary lymph node dissection for right breast cancer eleven years earlier and subtotal stomach-preserving pancreatoduodenectomy with Child's reconstruction for ampullary cancer ten years earlier. Gastrointestinal endoscopy showed a stricture due to a bulging submucosal tumor in the mid-thoracic esophagus. The tumo...
Conclusion Dyspepsia as a parameter to investigate gastric or oesophageal cancer contributes significantly to the growth in number of 2-week-wait referrals at a time when endoscopy units battle to meet demand. Our data show patients with uncomplicated dyspepsia rarely have gastric or oesophageal cancer and should not undergo endoscopies under the urgent 2-week-wait pathway.
ConclusionThe development of postoperative complications after minimally invasive Ivor Lewis esophagectomy significantly increases hospital length of stay. Performing the operation with a specialized tandem surgical team and including preoperative ischemic preconditioning of the stomach minimizes overall and anastomotic complications and facilitates on time hospital discharge as defined by a perioperative clinical pathway protocol.
Foregut carcinomas in the US differ from those typical in Asia. Esophageal cancers are mainly Barrett ’s and gastric cancers tend to be more advanced. Aim: Assess post ESD outcomes of foregut cancers at a high volume US center.
Esophageal squamous cell carcinoma (ESCC) is one of the most aggressive gastrointestinal cancers with high morbidity and mortality in China. Early detection of ESCC is one of the most important factors for improving the prognosis of the patients. Recently, several studies have reported the effectiveness of artificial intelligence (AI) in detection of early gastric cancer and early esophageal cancer by using high-quality white light images and narrow band images. However, these high-quality white light images and narrow band images along with experienced endoscopists are not always available in most hospitals in China.
Conclusion: The advantages of endoscopic resections; short hospitalization, low complication rates, patient comfort, and doesn't require the general anesthesia. For endoscopic resection, we think that the second endoscope shortens the duration of the procedure, reduces the complication rate, and increases the comfort of the endoscopist. PMID: 30880899 [PubMed - in process]
Conditions: GORD; Oesophageal Cancer; Oesophageal Reflux; Gastric Cancer; Gastro Esophageal Reflux; Oesophageal Carcinoma; Barrett Esophagus; Esophagitis Intervention: Diagnostic Test: No intervention but patients are undergoing an upper GI endoscopy and biopsies for clinical purposes Sponsor: Imperial College London Recruiting