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Update zur endoskopischen und bildgebenden Diagnostik

Update on diagnostic workup using endoscopy and imaging

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Die Gastroenterologie Aims and scope

Zusammenfassung

Hintergrund

Die frühzeitige Erkennung und präzise Ausbreitungsdiagnostik von Neoplasien des distalen Ösophagus und Magens ist für die Prognose der Erkrankung von entscheidender Bedeutung.

Fragestellung

Was ist der aktuelle Stand in der Detektion und Ausbreitungsdiagnostik von Barrett- und Magenneoplasien?

Material und Methode

Das Thema wurde auf der Grundlage der aktuellen Literatur und Expertise der Autoren systematisch aufgearbeitet.

Ergebnisse

Für die Detektion und Charakterisierung von Barrett- und Magenneoplasien ist die Expertise des Gastroenterologen und Radiologen von entscheidender Bedeutung. Der Einsatz von künstlicher Intelligenz wird in nahezu allen diagnostischen Schritten auf sein Potenzial zur Diagnoseoptimierung untersucht.

Schlussfolgerungen

Neben Zentrenbildungen lassen insbesondere Weiterentwicklungen im Bereich der künstlichen Intelligenz auf weitere Fortschritte im Bereich der Diagnostik von Barrett- und Magenkarzinomen hoffen.

Abstract

Background

Early detection and precise staging are the determinants for the prognosis of patients with Barrett’s and gastric neoplasia.

Objectives

To summarize the state of the art of detection and staging of Barrett’s and gastric neoplasia.

Materials and methods

Systematic review of the current literature by experienced clinicians.

Results

Early detection of Barrett’s and gastric neoplasia is dependent on the experience of the endoscopist and the use of high definition endoscopes. The use of artificial intelligence will hopefully improve the results of endoscopy, histology, and the radiologic staging procedure.

Conclusion

Expertise in specialized centers is important to improve the detection and staging of Barrett’s and gastric carcinoma. The development and implementation of artificial intelligence has great potential for further improvement in this field.

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Author information

Authors and Affiliations

  1. Klinik für Innere Medizin II: Gastroenterologie, Diabetologie, Klinikum am Gesundbrunnen, Am Gesundbrunnen 20–26, 74078, Heilbronn, Deutschland

    Uwe Weickert

  2. Zentrum für Radiologie, Minimal-invasive Therapien und Nuklearmedizin, Klinikum am Gesundbrunnen, Heilbronn, Deutschland

    Philippe Pereira

Authors
  1. Uwe Weickert
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Correspondence to Uwe Weickert.

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Interessenkonflikt

U. Weickert und P. Pereira geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Markus Möhler, Mainz

Ralf Jakobs, Ludwigshafen

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Weickert, U., Pereira, P. Update zur endoskopischen und bildgebenden Diagnostik. Gastroenterologie 18, 172–185 (2023). https://doi.org/10.1007/s11377-023-00688-1

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  • DOI: https://doi.org/10.1007/s11377-023-00688-1

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