Diagnosis and therapy of early neoplasia in Barrett's esophagus.

Abstract:

PURPOSE OF THIS REVIEW:In the last 2 years, several studies have been published that will change the management of patients with Barrett's esophagus. In this review, we will discuss the most relevant studies as well as future prospects in this field. RECENT FINDINGS:Long-term follow-up studies have shown that to be cost effective, endoscopic surveillance of Barrett's esophagus patients requires a better risk stratification. A decision analysis study suggested that screening for Barrett's esophagus and restricting subsequent surveillance only to patients with dysplasia, might be the preferred strategy. New endoscopic imaging techniques such as high-resolution endoscopy, narrow band imaging, and autofluorescence endoscopy have shown promising results for detection of early mucosal lesions. Endoscopic resection techniques have emerged as a safe and effective alternative for the endoscopic treatment of patients with high-grade intraepithelial neoplasia or early cancer. Ablative techniques such as photodynamic therapy appear to be a valuable adjunct to these endoscopic resection techniques. Recent studies, however, suggest that circumferential stepwise resection of the whole Barrett's mucosa may become the preferred endoscopic treatment in these patients. SUMMARY:Risk stratification, advanced endoscopic imaging techniques, and further development of endoscopic resection techniques will improve the management of patients with Barrett's esophagus in the future.

authors

Bergman JJ

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

466-71

issue

4

eissn

0267-1379

issn

1531-7056

pii

00001574-200507000-00015

journal_volume

21

pub_type

杂志文章,评审
  • Autoimmune pancreatitis.

    abstract:PURPOSE OF REVIEW:Autoimmune pancreatitis (AIP) is an increasingly recognized clinical condition. Our objective is to provide a concise review of the advances in the past year in our understanding of AIP. RECENT FINDINGS:In a hospital survey from Japan, the prevalence of AIP was estimated at 0.82 per 100,000 individua...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0b013e32830b10d2

    authors: Pannala R,Chari ST

    更新日期:2008-09-01 00:00:00

  • Probiotics as prevention and treatment for diarrhea.

    abstract:PURPOSE OF REVIEW:To critically appraise evidence on probiotic use for prevention and treatment of diarrhea in children and adults. RECENT FINDINGS:Several randomized controlled trials and meta-analyses suggested that probiotics are effective in primary and secondary prevention of gastroenteritis and its treatment. Se...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0b013e32831b4455

    authors: Guarino A,Lo Vecchio A,Canani RB

    更新日期:2009-01-01 00:00:00

  • Chronic pancreatitis.

    abstract::In the past year, numerous important papers were published on chronic pancreatitis, its causes, and its diagnosis; the cause of fibrosis; and pain in pancreatic cancer. More than 750 mutations have been described in the cystic fibrosis transmembrane regulator (CFTR) gene. Some mutations cause relatively mild reduction...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章

    doi:10.1097/00001574-199909000-00005

    authors: Chari ST,Dimagno EP

    更新日期:1999-09-01 00:00:00

  • The molecular basis of colorectal carcinogenesis.

    abstract::The development of colorectal neoplasms can be characterized by an ordered series of events that are referred to as the dysplasia-carcinoma sequence. These histologic changes occur as a result of genetic alterations in proto-oncogenes and tumor-suppressor genes. This review emphasizes important studies characterizing ...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章

    doi:10.1097/00001574-199901000-00002

    authors: Shattuck-Brandt RL,DuBois RN

    更新日期:1999-01-01 00:00:00

  • What is left of the endoscopic antireflux devices?

    abstract:PURPOSE OF REVIEW:We critically analyze existing endoscopy-based interventions for gastroesophageal reflux disease (GERD). The focus is on the effectiveness of available procedures and to delineate goals for future research. RECENT FINDINGS:Recent evaluations of the EndoCinch system reveal poor long-term results and n...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0b013e32832ad8b4

    authors: Jafri SM,Arora G,Triadafilopoulos G

    更新日期:2009-07-01 00:00:00

  • Update on viral hepatitis in 2004.

    abstract:PURPOSE OF REVIEW:This article highlights recent advances in viral hepatitis published from December 2003 to November 2004. Studies reporting novel and clinically relevant findings were selected after a PubMed search. The aim is to provide an up-to-date summary of important developments in viral hepatitis. RECENT FIND...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mog.0000158109.13722.36

    authors: Fung SK,Lok AS

    更新日期:2005-05-01 00:00:00

  • Pancreatic surgery for adenocarcinoma.

    abstract:PURPOSE OF REVIEW:Pancreatic resection remains among the most formidable and complex of abdominal surgical operations. Nonetheless, recent observations have continued to provide incremental improvement in both our evidence for treatment regimens and the technology, resulting in better outcomes. RECENT FINDINGS:Neoadju...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0b013e3283567f2c

    authors: Warshaw AL,Lillemoe KD,Fernandez-del Castillo C

    更新日期:2012-09-01 00:00:00

  • Diagnosis: gastric intestinal metaplasia - what to do next?

    abstract:PURPOSE OF REVIEW:One of the most vexing problems for gastroenterologists is what actions to take after receiving a histological diagnosis of gastric intestinal metaplasia. We approach the problem by starting with suggesting a biopsy protocol that ensures obtaining the biopsies required for diagnosis, assessing the sta...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0000000000000576

    authors: Graham DY,Rugge M,Genta RM

    更新日期:2019-11-01 00:00:00

  • Cancer in inflammatory bowel disease: lessons from animal models.

    abstract:PURPOSE OF REVIEW:Human colitis-associated cancers (CAC) represent a heterogeneous group of conditions in which multiple oncogenic pathways are involved. In this article, we review the latest studies using genetic, chemical, bacterial and innate immune-mediated experimental models of CAC. RECENT FINDINGS:Using the azo...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0b013e328354cc36

    authors: Sussman DA,Santaolalla R,Strobel S,Dheer R,Abreu MT

    更新日期:2012-07-01 00:00:00

  • Measuring outcomes in complicated intra-abdominal infections.

    abstract:PURPOSE OF REVIEW:Complicated intra-abdominal infections (cIAIs) are associated with significant morbidity and mortality. Clinical trials should help guide and improve the management of cIAIs. However, inappropriate selection or measurement of outcomes in cIAIs clinical trials can lead to misleading results on the effe...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章

    doi:10.1097/MOG.0000000000000591

    authors: Ahmed S,Wilcox MH,Kirby A

    更新日期:2020-01-01 00:00:00

  • Prevention of catheter-related blood stream infections in children with intestinal failure.

    abstract:PURPOSE OF REVIEW:Catheter-related bloodstream infections (CRBSIs) account for a major source of morbidity in children with intestinal failure. Many of these patients require long-term central venous access, placing them at significant risk for these infections. The purpose of this review is to highlight the most curre...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0b013e328358e268

    authors: Piper HG,Wales PW

    更新日期:2013-01-01 00:00:00

  • Diagnosis and evaluation of hyperbilirubinemia.

    abstract:PURPOSE OF REVIEW:Jaundice, the physical finding associated with hyperbilirubinemia, results when the liver is unable to properly metabolize or excrete bilirubin. The purpose of this review is to examine some of the most common causes of jaundice in adults, provide insight into the diagnostic evaluation of jaundice, an...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0000000000000354

    authors: Sullivan JI,Rockey DC

    更新日期:2017-05-01 00:00:00

  • Signal transduction in pancreatic acinar cell physiology and pathophysiology.

    abstract::The pancreatic acinar cell is a valuable cell model for understanding how activation of plasma membrane receptors generates signals that propagate, amplify, diversify, and integrate to control cellular function. A primary signaling system involves the activation of heterotrimeric G proteins that stimulate phospholipas...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章

    doi:10.1097/00001574-200009000-00002

    authors: Logsdon CD

    更新日期:2000-09-01 00:00:00

  • Novel imaging modalities for immune cell monitoring in the intestine.

    abstract:PURPOSE OF REVIEW:The introduction of novel molecular imaging modalities that can not only define disease states on the basis of structural changes and morphology, but also allow in-vivo visualization and characterization of molecular and biochemical alterations on a cellular level add a new dimension to our current di...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0000000000000120

    authors: Atreya R,Neurath MF

    更新日期:2014-11-01 00:00:00

  • Noninvasive radiologic imaging of the large intestine: a valuable complement to optical colonoscopy.

    abstract:PURPOSE OF REVIEW:Radiologic imaging of the large intestine continues to evolve and expand the potential for noninvasive diagnosis. The aim of this review is to provide an update on current and emerging clinical capabilities for a variety of radiologic diagnostic imaging tools for evaluating the colon and rectum. RECE...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0b013e328332b835

    authors: Pickhardt PJ

    更新日期:2010-01-01 00:00:00

  • Small bowel ulcers: when is it not inflammatory bowel disease ?

    abstract:PURPOSE OF REVIEW:Increasing use of small bowel endoscopy unravels ulcers in a relevant number of patients. Although often attributed to inflammatory bowel disease (IBD), these ulcers may be unspecific or caused by a variety of other diseases. This review summarizes the recent literature related to differential diagnos...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0000000000000522

    authors: Keuchel M,Kurniawan N,Baltes P

    更新日期:2019-05-01 00:00:00

  • Adverse effects of proton pump inhibitor drugs: clues and conclusions.

    abstract:PURPOSE OF REVIEW:To review evidence relating to the strength of associations that have appeared in largely observational studies, between high-dose or long-term use of proton pump inhibitor drugs and certain possibly attributable side-effects, which emerge from studies confounded by other variables. In retrospective s...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0b013e32833ea9d9

    authors: McCarthy DM

    更新日期:2010-11-01 00:00:00

  • Chronic unexplained diarrhea: a logical and cost-effective approach to assessment.

    abstract:PURPOSE OF REVIEW:The workup of chronic unexplained diarrhea can be equally frustrating for care providers and patients. It carries a physical, financial, and social toll. In this review we provide a sensible approach to evaluating and managing chronic diarrhea. RECENT FINDINGS:Bile acid diarrhea is becoming increasin...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0000000000000232

    authors: Dosanjh G,Pardi DS

    更新日期:2016-01-01 00:00:00

  • Recent advances in nonalcholic fatty liver disease.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to summarize recent advances in defining the clinical features, pathophysiology, natural history, and treatment of nonalcoholic fatty liver disease. RECENT FINDINGS:Nonalcoholic fatty liver disease is present in approximately 30% of the US population. A histologic gradin...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0b013e3282fbccf2

    authors: Greenfield V,Cheung O,Sanyal AJ

    更新日期:2008-05-01 00:00:00

  • Animal models of cholangiocarcinoma.

    abstract:PURPOSE OF REVIEW:Even though recent accumulated data can help to understand fundamental molecular mechanisms of progression of cholangiocarcinoma (CCA), its incidence and mortality still keep increasing worldwide with poor prognosis. As appropriate animal disease models are critical to fill the gap between the finding...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0b013e32835d6a3e

    authors: Ko KS,Peng J,Yang H

    更新日期:2013-05-01 00:00:00

  • Indoleamine 2,3 dioxygenase in intestinal disease.

    abstract:PURPOSE OF REVIEW:Several gastrointestinal diseases including the inflammatory bowel diseases (IBDs) and malignancy are associated with elevated expression of indoleamine 2,3 dioxygenase-1 (IDO1). IDO1 initiates tryptophan catabolism along a pathway that generates several bioactive kynurenine-based metabolites. Promoti...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0b013e32835c9cb3

    authors: Ciorba MA

    更新日期:2013-03-01 00:00:00

  • How to deal with large colorectal polyps: snare, endoscopic mucosal resection, and endoscopic submucosal dissection; resect or refer?

    abstract:PURPOSE OF REVIEW:The importance of accurate polyp detection and removal is paramount to preventing colon cancer. Resection of large polyps can be challenging to the endoscopist based on their size, shape, or location. Large polyps have the potential of harboring malignancy and a higher risk of complications with resec...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0000000000000228

    authors: Thirumurthi S,Raju GS

    更新日期:2016-01-01 00:00:00

  • Pathogenesis of inflammatory bowel disease.

    abstract::In spite of expanding knowledge of cellular and molecular mechanisms of intestinal inflammation, the etiology and pathogenesis of inflammatory bowel disease (IBD) remain obscure. The link between the environment and IBD is still circumstantial, but definite progress is occurring in defining genetic susceptibility loci...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章

    doi:10.1097/00001574-199907000-00003

    authors: Katz JA,Itoh J,Fiocchi C

    更新日期:1999-07-01 00:00:00

  • The role of esophageal pH-impedance testing in clinical practice.

    abstract:PURPOSE OF REVIEW:Ambulatory reflux monitoring is typically performed when esophageal symptoms do not respond to usual antireflux medications, or prior to invasive antireflux therapy. Although pH-based metrics have been the standard in defining esophageal reflux burden, novel impedance parameters have been introduced i...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0000000000000441

    authors: Hobbs P,Gyawali CP

    更新日期:2018-07-01 00:00:00

  • Management of symptom complexes in primary biliary cholangitis.

    abstract:PURPOSE OF REVIEW:Primary biliary cholangitis (PBC) is a rare autoimmune liver disease that increasingly is diagnosed at early stages of disease. Although survival has improved, a majority suffers from one or more symptom complexes associated with PBC. Much remains unknown about the mechanisms, significance, or effecti...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0000000000000254

    authors: Kuo A,Kuo A,Bowlus CL

    更新日期:2016-05-01 00:00:00

  • The intestinal flora in inflammatory bowel disease: normal or abnormal?

    abstract:PURPOSE OF REVIEW:The human gut is the natural habitat for a large and dynamic bacterial community. There is a substantial body of evidence implicating the resident flora in the pathogenesis of chronic intestinal inflammation. This review discusses the possible role of a microbial imbalance in the pathophysiology of in...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:

    authors: Guarner F

    更新日期:2005-07-01 00:00:00

  • Immunoglobulin G4-associated cholangitis.

    abstract:PURPOSE OF REVIEW:Immunoglobulin G4-associated cholangitis is a recently identified clinical entity characterized by infiltration of immunoglobulin G4 -bearing plasma cells in bile ducts and other affected tissues. This review is focused mainly on the most recent studies published during the last 2 years that have incr...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0b013e3282f6a7c5

    authors: Björnsson E

    更新日期:2008-05-01 00:00:00

  • Mucosal healing in Crohn's disease and ulcerative colitis: what does it tell us?

    abstract:PURPOSE OF REVIEW:To provide a critical review of the literature concerning the significance of mucosal healing as a predictor of future clinical and endoscopic course in patients with inflammatory bowel disease. Particular focus is given to articles published within the last year. RECENT FINDINGS:In patients with Cro...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0b013e3283455c8f

    authors: Flynn A,Kane S

    更新日期:2011-07-01 00:00:00

  • Esophageal bleeding disorders.

    abstract:PURPOSE OF REVIEW:Esophageal varices and Mallory Weiss syndrome are the two major esophageal bleeding disorders. Although there have been major breakthroughs in the treatment of peptic ulcer bleeding, the management of esophageal bleeding disorders remains a challenging problem. This review focuses on studies published...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章

    doi:10.1097/00001574-200407000-00015

    authors: Wu JC,Chan FK

    更新日期:2004-07-01 00:00:00

  • Colonic and anorectal motility testing in the high-resolution era.

    abstract:PURPOSE OF REVIEW:The past few years have seen an increase in the number of research and clinical groups around the world using high-resolution manometry (HRM) to record contractile activity in the anorectum and colon. Yet despite the uptake and growing number of publications, the clinical utility and potential advanta...

    journal_title:Current opinion in gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1097/MOG.0000000000000229

    authors: Dinning PG,Carrington EV,Scott SM

    更新日期:2016-01-01 00:00:00