Staging of early adenocarcinoma in Barrett's esophagus.
The main goal in the staging of patients with early neoplasia arising in the context of Barrett's esophagus (BE) is to identify individuals who are eligible for endoscopic therapy and differentiate them from those who require surgical management. To make the proper patient selection a combined staging strategy consisting of endoscopy evaluation, endoscopic ultrasonography, and endoscopic mucosal resection is necessary. In this article, the authors summarize the evidence behind each different staging modality in the setting of early BE adenocarcinoma and propose a staging approach that helps to select patients who are suitable for endoscopic therapy.
Department of Gastroenterology, Amphia Hospital, Molengracht 21, 4818 CK, Breda, The Netherlands.
Tom C J
TC
Seerden
Alberto
A
Larghi
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000556:secondary; D001471:Barrett Esophagus / Q000473:pathology*; D019160:Endosonography; D004938:Esophageal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D004945:Esophagoscopy; D006801:Humans; D008207:Lymphatic Metastasis; D009367:Neoplasm Staging; D011230:Precancerous Conditions / Q000473:pathology*