Abstract
Half of the patients who undergo surgery for cancer of the esophagus or gastric cardia present with recurrent disease within 2 years after the operation. We investigated the value of endosonography for the early detection of recurrent disease. Forty-three patients entered a follow-up protocol in which endosonography was performed every 6 months within the first 2 years after resection. During 16 of a total of 66 examinations, suspicious abnormalities were found. In three patients free fluid was seen, but recurrence could not be confirmed during follow-up. In eight patients suspicious lymph nodes were seen; six died within 6 months, one was alive with a proven recurrence at 6 months, and one was alive without recurrence at 22 months. In five patients focal wall-thickening or a mass was seen; three died within 6 months, and two were alive with a proven recurrence at 2 and 5 months. After exclusion of free fluid, the positive predictive value of abnormalities on endoscopic ultrasonography (EUS) was 92%. Endosonography, performed at 6-month intervals after resection of cancer of the esophagus or gastric cardia, is accurate in the early detection of locoregional recurrent disease. Two thirds of the patients were still without sympto...Continue Reading
References
Mar 1, 1990·Gastrointestinal Endoscopy·C J Lightdale, J F Botet
Aug 1, 1990·The British Journal of Surgery·J M MüllerH Pichlmaier
Aug 1, 1995·Gut·J L RaoulB Launois
Feb 1, 1995·Endoscopy·M GiovanniniI Rabbia
Jul 1, 1994·Gastrointestinal Endoscopy·M F CatalanoJ Van Dam
Sep 1, 1994·The British Journal of Surgery·J J van LanschotR A van Deelen
Oct 1, 1993·Radiology·J G CarlisleB H Gross
Apr 1, 1993·The British Journal of Surgery·J P PierieH Obertop
Dec 1, 1995·Gastrointestinal Endoscopy·M F CatalanoJ Van Dam
Jul 1, 1996·Gastrointestinal Endoscopy·P FockensG N Tytgat
Citations
Jun 9, 2001·Seminars in Surgical Oncology·H Messmann, K Schlottmann
Jul 13, 2011·Surgery Today·Eiji OkiYoshihiko Maehara
Jun 5, 2002·European Journal of Radiology·Atadan Tunaci
Dec 10, 1999·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·J J Bergman, P Fockens
Dec 10, 1999·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·S Odegaard
Dec 15, 2000·Gastrointestinal Endoscopy·S Mallery, J Van Dam
Aug 25, 2005·Radiology·Marinke WesterterpGerrit W Sloof
Mar 31, 2009·Gastroenterology Clinics of North America·Alan Brijbassie, Vanessa M Shami
Jul 2, 2005·Gastrointestinal Endoscopy Clinics of North America·Raghuram P ReddyMaurits J Wiersema
Jun 24, 2004·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M KantarciO Onbaş
Jul 16, 1999·The American Journal of Gastroenterology·W R Brugge
Jun 7, 2006·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Marinke WesterterpJan J B van Lanschot
Jun 20, 2006·Scandinavian Journal of Gastroenterology. Supplement·Marinke WesterterpJ Jan B Van Lanschot
Sep 1, 2010·Radiology and Oncology·Vaneja Velenik
Jan 12, 2019·The Korean Journal of Parasitology·Woon-Mok SohnJung-Won Ju
Jul 20, 2017·The Korean Journal of Parasitology·Woon-Mok SohnSung-Shik Shin
Jun 23, 2018·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·N D Cosgrove, D K Mullady
Apr 12, 2000·Cancer Control : Journal of the Moffitt Cancer Center·H W Boyce
Mar 11, 2021·BJS Open·O S BjerringM B Mortensen