Non-Barrett’s esophageal and gastric tumors: diagnosis and treatment

The 2012 Digestive Disease Week (DDW; 19 – 22 May, San Diego, California, USA) presented small-step advances in the field of non-Barrett’s esophageal and gastric tumors. In patients with ear – nose – throat (ENT) cancer, narrow-band imaging (NBI) might be useful in endoscopic screening for early esophageal squamous neoplasia, but confirmation of its role has yet to be reported. The yield and intervals of endoscopic screening for gastric neoplasia are better understood, and so are the results and complications of gastroesophageal endoscopic submucosal dissection (ESD) together with their predictive factors. Endoscopic therapy of advanced tumors was another important theme at DDW, with ESD after radiotherapy for advanced esophageal cancer and gastrojejunostomy for neoplastic gastric outlet obstruction being reported. Relevant abstracts are discussed below.

[1]  Jang-Ming Lee,et al.  The benefit of pretreatment esophageal screening with image-enhanced endoscopy on the survival of patients with hypopharyngeal cancer. , 2013, Oral oncology.

[2]  Vikesh K. Singh,et al.  Enteral stenting versus gastrojejunostomy for palliation of malignant gastric outlet obstruction , 2013, Surgical Endoscopy.

[3]  H. Moon,et al.  Is Endoscopic Mucosal Resection a Sufficient Treatment for Low-Grade Gastric Epithelial Dysplasia? , 2012, Gut and liver.

[4]  Noriya Uedo,et al.  Factors predicting perforation during endoscopic submucosal dissection for gastric cancer. , 2012, Gastrointestinal endoscopy.

[5]  N. Wright,et al.  OC-099 Increased at risk screening and recognition of atypical presentation does not fully explain the 6.5-fold increase in paediatric coeliac disease (CD) incidence in the last 20 years in SE Scotland , 2012, Gut.

[6]  H. Cho,et al.  444 Is EGD Necessary in Patients With Positive Fecal Occult Blood Test and Negative Colonoscopy , 2012 .

[7]  T. Inaba,et al.  363 Risk Factors of Non-Curative Resection of Early Gastric Neoplasms Performed Endoscopic Submucosal Dissection: Analysis of 1123 Lesions , 2012 .

[8]  N. Yamaguchi.  Tu1590 Usefulness of Oral Prednisolone in Treatment of Esophageal Stricture Following Endoscopic Submucosal Dissection for Superficial Esophageal Epithelial Neoplasms , 2012 .

[9]  K. Tominaga,et al.  802 Final Result of a Prospective Non-Randomized Study for Accuracy of Detection and Diagnosis of Esophageal Squamous Cell Carcinoma by Tandem Non-Magnifying Endoscopy With Narrow-Band Imaging and Iodine Staining , 2012 .

[10]  Jong-Jae Park,et al.  Mo1258 Feasibility and Safety of Endoscopic Resection for Large Gastric Subepithelial Tumors , 2012 .

[11]  N. Matsuhashi,et al.  663 An Appropriate Interval in Performing Endoscopy Screening for Gastric Cancer , 2012 .

[12]  Wei-feng Chen,et al.  283 Advantages of Submucosal Tunneling Endoscopic Resection (Ster) With Hybrid Knife® Over Conventional Electric Knife for Upper Gastrointestinal Submucosal Tumors Originating From Muscularis Propria Layer: A Prospective Study , 2012 .

[13]  A. Kokawa,et al.  Mo1232 Clinicopathological Risk Factors for Delayed Postoperative Bleeding After ESD for Gastric Cancer: Comparison With the Factors for Early Bleeding , 2012 .