Endoscopic Management of Early Adenocarcinoma and Squamous Cell Carcinoma of the Esophagus: Screening, Diagnosis, and Therapy.

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

Gastroenterology

journal_title

Gastroenterology

authors

di Pietro M,Canto MI,Fitzgerald RC

doi

10.1053/j.gastro.2017.07.041

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

421-436

issue

2

eissn

0016-5085

issn

1528-0012

pii

S0016-5085(17)35973-5

journal_volume

154

pub_type

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