Abstract:
:Because the esophagus is easily accessible with endoscopy, early diagnosis and curative treatment of esophageal cancer is possible. However, diagnosis is often delayed because symptoms are not specific during early stages of tumor development. The onset of dysphagia is associated with advanced disease, which has a survival at 5 years lower than 15%. Population screening by endoscopy is not cost-effective, but a number of alternative imaging and cell analysis technologies are under investigation. The ideal screening test should be inexpensive, well tolerated, and applicable to primary care. Over the past 10 years, significant progress has been made in endoscopic diagnosis and treatment of dysplasia (squamous and Barrett's), and early esophageal cancer using resection and ablation technologies supported by evidence from randomized controlled trials. We review the state-of-the-art technologies for early diagnosis and minimally invasive treatment, which together could reduce the burden of disease.
journal_name
Gastroenterologyjournal_title
Gastroenterologyauthors
di Pietro M,Canto MI,Fitzgerald RCdoi
10.1053/j.gastro.2017.07.041subject
Has Abstractpub_date
2018-01-01 00:00:00pages
421-436issue
2eissn
0016-5085issn
1528-0012pii
S0016-5085(17)35973-5journal_volume
154pub_type
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