Abstract
Endoscopic ultrasound (EUS) is useful for detecting depth of invasion and nodal involvement in patients with early Barrett's neoplasia (EBN), precluding endoscopic management. This study aimed to determine whether the lesion morphology of the EBN shown on high-resolution endoscopy predicts EUS and histologic tumor stage. Retrospective series from two tertiary referral centers were studied. Patients with EBN referred for EUS evaluation before treatment were identified, and data were collected from endoscopies, a database, and case notes. All patients had high-resolution endoscopy followed by radial EUS. This study included 50 patients (22 men) with a median age of 69 years (interquartile range, 60-79 years). Visible lesions in the Barrett's segment were described as Paris types 0-1 (n = 9), 0-IIb (n = 12), 0-IIa (n = 12), 0-IIa + IIc (n = 6), and 0-IIc (n = 5). Of the 50 patients, 46 (92%) had either EMR (n = 17), esophagectomy (n = 23), or both (n = 6). All 12 patients (100%) with Paris 0-IIb lesions had T0/T1 m staging on EUS confirmed with resection histology. The sensitivity for EUS T-staging for Paris classification was 71.4% for type 0-I, 100% for type 0-IIb, 83% for type 0-IIa, 66.7% for type 0-IIa + IIc, and 66.7% for ty...Continue Reading
References
Oct 1, 1995·The British Journal of Ophthalmology·O NishiE Shirasawa
Mar 1, 1994·Gastrointestinal Endoscopy·G W FalkJ Van Dam
Aug 1, 1997·Gastrointestinal Endoscopy·A L AdrainL S Miller
Dec 1, 2001·Gastrointestinal Endoscopy·I A ScotiniotisG G Ginsberg
Feb 13, 2003·Surgical Endoscopy·M HünerbeinP M Schlag
Apr 15, 2004·Gut·A MayC Ell
Apr 20, 2004·The American Journal of Gastroenterology·Victor K Chen, Mohamad A Eloubeidi
Nov 24, 2004·Gastrointestinal Endoscopy·Christianne J BuskensJ Jan B van Lanschot
Jun 4, 2005·Endoscopy·UNKNOWN Endoscopic Classification Review Group
Jul 2, 2005·Gastrointestinal Endoscopy·Alberto LarghiHeidrun Rotterdam
Jul 9, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Charles J Lightdale, Ketan G Kulkarni
Nov 22, 2005·Journal of Surgical Oncology·H J SteinM Feith
Jan 6, 2006·The American Journal of Gastroenterology·Nuzhat A AhmadGregory G Ginsberg
Jun 20, 2006·The American Journal of Gastroenterology·Irving WaxmanStuart Jon Spechler
Jul 26, 2006·The American Journal of Gastroenterology·Femke P PetersJacques J G H M Bergman
Oct 13, 2006·The American Journal of Gastroenterology·Oliver PechChristian Ell
Jul 6, 2007·Endoscopy·O PechC Ell
Jul 21, 2007·The American Journal of Gastroenterology·Ganapathy A PrasadKenneth K Wang
Dec 7, 2007·Endoscopy·M ChemalyT Ponchon
Dec 25, 2007·The Annals of Thoracic Surgery·Sabrina RampadoErmanno Ancona
Dec 25, 2007·Gastrointestinal Endoscopy·Femke P PetersJacques J G H M Bergman
Mar 12, 2008·World Journal of Gastroenterology : WJG·Srinivas-R PuliMainor-R Antillon
Mar 22, 2008·Gastrointestinal Endoscopy·Robert A GanzUNKNOWN U.S. Multicenter Registry
May 8, 2008·Gut·O PechC Ell
May 13, 2008·Gut·L LundellUNKNOWN LOTUS trial collaborators
Jun 26, 2008·Gastrointestinal Endoscopy·Stuart Jon Spechler, Rhonda F Souza
Sep 13, 2008·The American Journal of Gastroenterology·Hendrik MannerChristian Ell
Citations
Aug 11, 2010·World Journal of Gastroenterology : WJG·Vani J A Konda, Mark K Ferguson
Oct 9, 2013·World Journal of Surgery·Alejandro NieponiceHenry Cohen
Nov 30, 2010·Gastrointestinal Endoscopy Clinics of North America·Jennifer ChennatIrving Waxman
Nov 28, 2016·Gastrointestinal Endoscopy·Michael J BartelMichael B Wallace
Sep 24, 2011·Therapeutic Advances in Gastroenterology·Jayan Mannath, Krish Ragunath
Sep 7, 2011·Nature Reviews. Gastroenterology & Hepatology·Aparna Repaka, Amitabh Chak
Jun 19, 2012·Expert Review of Medical Devices·Svein ØdegaardMichael B Kimmey
Oct 30, 2013·Gut·Rebecca C FitzgeraldUNKNOWN British Society of Gastroenterology
Jan 11, 2020·Journal of Biophotonics·Guangyao LiSung-Liang Chen
Feb 20, 2020·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Ryu IshiharaUNKNOWN Japan Gastroenterological Endoscopy Society Guidelines Committee of ESD/EMR for Esophageal Cancer
Feb 3, 2016·Frontline Gastroenterology·J Ortiz-Fernández-SordoK Ragunath
Sep 29, 2012·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·W J BulsiewiczN J Shaheen
Jul 2, 2018·Journal of Gastroenterology·Ryu IshiharaTsuneo Oyama
Feb 27, 2014·Clinical Endoscopy·Alberto EspinoNorman Marcon
Dec 3, 2014·Gastrointestinal Endoscopy·Bashar J QumseyaMichael B Wallace
Mar 7, 2018·Gastroenterology·Martin A EversonRehan Haidry
Sep 14, 2010·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Patrick E YoungMark Riddle