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Current Oncology Reports

, 17:421 | Cite as

Endoscopic Approaches for Early-Stage Esophageal Cancer: Current Options

  • Vaishali Patel
  • Rebecca A. Burbridge
Gastrointestinal Cancers (B Czito, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Gastrointestinal Cancers

Abstract

Early esophageal cancer is confined to the mucosa or submucosa of the esophagus. While most esophageal cancer is detected at an advanced stage (requiring surgical resection, chemotherapy, and radiation), early-stage mucosal lesions may be detected through Barrett’s surveillance programs or incidentally on diagnostic upper endoscopies performed for other reasons. These early-stage cancers are often amenable to endoscopic therapies, including mucosal resection, ablation, and cryotherapy. Studies suggest equivalent survival rates and reduced morbidity but higher recurrence rates with endoscopic removal of early-stage cancers compared to surgical resection. There is emerging data regarding the efficacy and long-term outcomes of endoscopic therapy for early esophageal cancer that is promising, and further research is needed to better define the role of endoscopic therapy in the management of early esophageal cancer.

Keywords

Esophageal cancer Barrett’s esophagus Endoscopic mucosal resection Ablation Cryotherapy Esophagectomy 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

Vaishali Patel and Rebecca A. Burbridge declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Division of GastroenterologyDuke University Medical CenterDurhamUSA
  2. 2.Division of GastroenterologyDuke University Medical CenterDurhamUSA

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