지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 47 - 54 (8page)
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초록· 키워드
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Advanced esophageal adenocarcinomas arising from Barrett esophagus (BE) are tumors with an increasing incidence and poor prognosis. The aim of endoscopic surveillance of BE is to detect dysplasia, particularly high-grade dysplasia and intramucosal cancers that can subsequently be treated endoscopically before progression to invasive cancer with lymph node metastases. Current surveillance practice standards require the collection of random 4-quadrant biopsy specimens over every 1 to 2 cm of BE (Seattle protocol) to detect dysplasia with the assistance of white light endoscopy, in addition to performing targeted biopsies of recognizable lesions. This approach is labor-intensive but should currently be considered state of the art. Chromoendoscopy, virtual chromoendoscopy (e.g., narrow band imaging), and confocal laser endomicroscopy, in addition to high-definition standard endoscopy, might increase the diagnostic yield for the detection of dysplastic lesions. Until these modalities have been demonstrated to enhance efficiency or cost effectiveness, the bottom line will remain careful examination using conventional off the shelf high-resolution endoscopes, as longer inspection time has been associated with the increased detection of dysplasia.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
ASGE Standards of Practice Committee / 2012 / The role of endoscopy in Barrett’s esophagus and other premalignant conditions of the esophagus / Gastrointest Endosc 76 : 1087
American Gastroenterological Association / 2011 / American Gastroenterological Association medical position statement on the management of Barrett’s esophagus / Gastroenter
Anagnostopoulos GK / 2007 / Novel endoscopic observation in Barrett’s oesophagus using high resolution magnification endoscopy and narrow band imaging / Aliment Pharmacol T
Anaparthy R / 2013 / Association between length of Barrett’s esophagus and risk of high-grade dysplasia or adenocarcinoma in patients without dysplasia / Clin Gastroenterol
Bennett C / 2012 / Consensus statements for management of Barrett’s dysplasia and early-stage esophageal adenocarcinoma, based on a Delphi process / Gastroenterology 143 : 3
American Gastroenterological Association / 2011 / American Gastroenterological Association medical position statement on the management of Barrett’s esophagus / Gastroenter
Anagnostopoulos GK / 2007 / Novel endoscopic observation in Barrett’s oesophagus using high resolution magnification endoscopy and narrow band imaging / Aliment Pharmacol T
Anaparthy R / 2013 / Association between length of Barrett’s esophagus and risk of high-grade dysplasia or adenocarcinoma in patients without dysplasia / Clin Gastroenterol
Bennett C / 2012 / Consensus statements for management of Barrett’s dysplasia and early-stage esophageal adenocarcinoma, based on a Delphi process / Gastroenterology 143 : 3
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