Combined endoscopic ultrasonography and laparoscopic ultrasonography in the pretherapeutic assessment of resectability in patients with upper gastrointestinal malignancies

Scandinavian Journal of Gastroenterology
M B MortensenC P Hovendal

Abstract

Even though endoscopic ultrasonography (EUS) has improved the pretherapeutic staging and assessment of resectability in patients with upper gastrointestinal (GI) tract malignancies, a considerable number of patients still have to undergo unnecessary explorative laparotomy to obtain the final assessment of resectability. The aim of the present study was to evaluate laparoscopic ultrasonography (LUS) and the combination of EUS and LUS in the pretherapeutic study of these patients with special reference to resectability. Each of 44 patients with esophageal, gastric, or pancreatic cancer was assigned to a treatment-related resectability group based on five different imaging modalities: computer tomography (CT) + ultrasonography (US), EUS, laparoscopy, LUS, and EUS + LUS. The findings with these imaging modalities were compared with intraoperative findings. Overall group assignment accuracy showed significantly better results for EUS, LUS, and EUS + LUS than for CT + US and laparoscopy. EUS + LUS identified all non-resectable patients, whereas the sensitivity of CT + US, laparoscopy, and EUS were 14%, 36%, and 79%, respectively. Median time consumption for each EUS, laparoscopy, or LUS procedure was less than 25 min, and no complica...Continue Reading

References

Oct 1, 1992·Endoscopy·C J Lightdale
Jul 1, 1991·Gastrointestinal Endoscopy·A K Kriplani, B M Kapur
Feb 1, 1990·Archives of Surgery·A L WarshawA C Waltman
Jun 1, 1985·The British Journal of Surgery·A Shandall, C Johnson
Mar 1, 1995·The British Journal of Surgery·R G MolloyJ R Anderson
Feb 1, 1995·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·M HünerbeinP M Schlag
Apr 1, 1994·Scandinavian Journal of Gastroenterology·M B MortensenC P Hovendal
Dec 1, 1993·The British Journal of Surgery·M A CuestaA C Sikkenk
May 1, 1993·American Journal of Surgery·P C FreenyJ A Ryan
Feb 1, 1993·Endoscopy·H J Dittler, J R Siewert
Feb 1, 1993·Endoscopy·H J Dittler, J R Siewert

❮ Previous
Next ❯

Citations

Jul 1, 1999·Ultrasound in Medicine & Biology·M MakuuchiJ Machi
Jul 22, 1999·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·J Durup Scheel-HinckeC P Hovendal
Dec 10, 1999·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·M B Mortensen
Dec 10, 1999·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·S Odegaard
Aug 27, 2014·BioMed Research International·Henricus J M HandgraafJ Sven D Mieog
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·C W FristrupH O Nielsen
Dec 4, 2003·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·K V Menon, T C B Dehn
Dec 24, 2002·Annals of Surgery·Els J M Nieveen van DijkumDirk J Gouma

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.