Circumferential endoscopic resection of Barrett’s esophagus with high-grade dysplasia or early adenocarcinoma

Lopes, César Vivian; Mnif, H.; Pesenti, Christian; Bories, Erwan; Caillol, Fabrice; Monges, Geneviève; Giovannini, Marc

doi:10.1007/s00464-006-9187-3

Cited by 112 publications

(62 citation statements)

References 25 publications

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“…In Japan, there are a few case reports about the complete eradication of ESD for BE including Barrett ' s esophageal cancer, but this treatment is not used generally because the risk of developing synchronous or metachronous lesions is very low in Japan ( 41 ). Th erefore, in Japan, it is considered that it might not require circumferential EMR ( 42,43 ) nor radiofrequency ablation ( 43 -45 ), which is performed in Western countries for BE AC, and the recurrence rates of SCC were signifi cantly higher than those of AC.…”

Section: Esophagusmentioning

confidence: 99%

Comparison of the Long-Term Outcomes of Endoscopic Resection for Superficial Squamous Cell Carcinoma and Adenocarcinoma of the Esophagus in Japan

Nakagawa

Koike

Iijima

et al. 2014

American Journal of Gastroenterology

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OBJECTIVES:Few studies have simultaneously evaluated the long-term outcomes of endoscopic resection (ER) for squamous cell carcinoma (SCC) and adenocarcinoma (AC) of the esophagus in Japan. The objective of this study was to evaluate the long-term outcomes of ER for superfi cial esophageal cancer in consecutive patients. METHODS:This was a retrospective study from a single institution. From April 2001 to June 2012, 204 patients with SCC and 26 patients with AC were included from a total of 355 consecutive patients who were treated by esophageal ER at the Tohoku University Hospital. Patients with submucosal invasion deeper than 200 μ m and lymphovascular involvement were excluded. The intervention followed was endoscopic therapy. RESULTS:Overall survival, disease-free survival, and recurrence rates were evaluated as long-term outcomes. In the SCC group, during the median observation time of 36.5 months (range, 6 -120 months), 22 (10.8 % ) patients experienced metachronous recurrence, 4 (2.0 % ) patients experienced local recurrence, and 27 (13.2 % ) patients died from causes unrelated to SCC. In the AC group, during the median observation time of 45.5 months (range, 6 -131 months), one patient (3.8 % ) experienced metachronous recurrence and two (7.7 % ) died from causes unrelated to AC. The cumulative 5-year overall survival rates were not signifi cantly different between SCC (75.9 % ) and AC (88.9 % ) ( P = 0.120). The cumulative 5-year disease-free survival rates of SCC (57.1 % ) were signifi cantly lower than those of AC (85.2 % ; P = 0.017). The cumulative 5-year recurrence rates of SCC (32.0 % ) were signifi cantly higher than those of AC (4.2 % ; P = 0.023). CONCLUSIONS:The rate of recurrence after ER was higher in patients with SCC than that in patients with AC. These fi ndings suggest that, by detecting AC of the esophagus earlier, a satisfactory prognosis without recurrence can be expected after ER in Japan, and more rigorous endoscopic follow-up is necessary after ER in patients with SCC than in those with AC.

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Section: Esophagusmentioning

confidence: 99%

Comparison of the Long-Term Outcomes of Endoscopic Resection for Superficial Squamous Cell Carcinoma and Adenocarcinoma of the Esophagus in Japan

Nakagawa

Koike

Iijima

et al. 2014

American Journal of Gastroenterology

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“…3). Complete response from CBE-EMR in studies has ranged from 76 to 100 % and complete eradication of dysplasia in 86 % to 100 % of cases (93,(118)(119)(120)(121)(122)(123) (Table II).…”

Section: Complete Barrett's Eradication Endoscopic Mucosal Resection mentioning

confidence: 99%

Endoscopic diagnosis and therapies for Barrett esophagus: a review

Waxman

González-Haba-Ruiz

Vázquez-Sequeiros

2014

Rev. esp. enferm. dig.

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“…Later studies reported similar results with rare complication rates including stricture formation, bleeding and perforations. (Peters et al, 2006;Larghi et al, 2007;Lopes et al, 2007).…”

Section: Endoscopic Mucosal Resectionmentioning

confidence: 99%

Nonsurgical Management of Esophageal Cancer

Safa¹,

Reda²

2012

Esophageal Cancer - Cell and Molecular Biology, Biomarkers, Nutrition and Treatment

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Circumferential endoscopic resection of Barrett’s esophagus with high-grade dysplasia or early adenocarcinoma

Abstract: Circumferential EMR provides an effective endoscopic approach to the management of Barrett's esophagus-related high-grade dysplasia and mucosal cancer. Additional studies are necessary to evaluate the long-term results.

Cited by 112 publications

References 25 publications

Comparison of the Long-Term Outcomes of Endoscopic Resection for Superficial Squamous Cell Carcinoma and Adenocarcinoma of the Esophagus in Japan

Comparison of the Long-Term Outcomes of Endoscopic Resection for Superficial Squamous Cell Carcinoma and Adenocarcinoma of the Esophagus in Japan

Endoscopic diagnosis and therapies for Barrett esophagus: a review

Nonsurgical Management of Esophageal Cancer

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