Abstract：
:Early-stage (T1) esophagogastric junction cancer continues to represent 2-3% of all cases. Adenocarcinoma is the most frequent and important type, the main risk factors for which are gastroesophageal reflux and Barrett's esophagus with dysplasia. Patients with mucosal (T1a) or submucosal (T1b) involvement initially require a thorough digestive endoscopy, and narrow-band imaging can improve visualization. Endoscopic treatment of these lesions includes endoscopic mucosal resection, radiofrequency ablation and endoscopic submucosal dissection. Accurate staging is necessary in order to provide optimal treatment. The most precise staging technique in these cases is endoscopic ultrasound. The suspicion of deep invasion of the submucosa, presence of unfavorable anatomopathological characteristics or impossibility to perform endoscopic resection make it necessary to consider surgical resection.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Junquera F,Fernández-Ananín S,Balagué Cdoi
10.1016/j.ciresp.2019.04.001subject
Has Abstractpub_date
2019-10-01 00:00:00pages
438-444issue
8eissn
0009-739Xissn
1578-147Xpii
S0009-739X(19)30112-5journal_volume
97pub_type
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