Screening and Surveillance of Barrett's Esophagus

被引:0
作者
Regula, Jaroslaw [1 ,2 ,3 ]
机构
[1] Med Ctr Postgraduate Educ, Dept Gastroenterol, Warsaw, Poland
[2] Maria Sklodowska Curie Mem Canc Ctr, Warsaw, Poland
[3] Inst Oncol, Warsaw, Poland
关键词
Barrett's esophagus; Surveillance; Screening; Cost-effectiveness; HIGH-GRADE DYSPLASIA; ENDOSCOPIC SURVEILLANCE; CANCER-RISK; ADENOCARCINOMA; GUIDELINES; DIAGNOSIS;
D O I
10.1159/000210104
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Screening and surveillance of Barrett's esophagus is a matter of discussion in the current world literature due to uncertainties concerning its cost-effectiveness. Important and valid arguments for and against it are available. Despite the fact that this issue is still to be resolved, screening using standard gastroscopy once in a lifetime and surveillance using repeated endoscopies with multiple blind biopsies are widely practiced by individual gastroenterologists. Further studies that mainly focus on finding better predictors of progression to cancer are needed to be able to prepare clear and useful guidelines. The ultimate aim of screening and surveillance should be decrease in mortality from esophageal adenocarcinoma resulting from Barrett's esophagus. Copyright (C) 2009 S. Karger AG, Basel
引用
收藏
页码:54 / 57
页数:4
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