Abstract
Endoscopic therapy has emerged as a highly effective and minimally invasive way to control and cure early neoplasia of the digestive tract. Polypectomy has been a major advance, and most recently ablation and endoscopic mucosal resection seem to be highly successful in treating flat neoplastic areas involving the gut mucosa. The use of endoscopic ultrasonography (EUS) has resulted in improved accuracy for cancer staging, and EUS-guided fine-needle aspiration has been successful in obtaining tissue diagnosis outside the gut lumen. In advanced cancer, usually managed by multidisciplinary teams of oncologists, surgeons, and radiologists, the gastrointestinal endoscopist (GI) has assumed a key role not only in diagnosis but in palliation with the use of stents to bridge GI obstruction, ablation and the placement of tubes for drainage and feeding.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ishiguro A, Uno Y, Ishiguro Y et al (1999) Correlation of lifting versus non-lifting and microscopic depth of invasion in early colorectal cancer. Gastrointest Endosc 50:329–333
Uno Y, Munakata A (1994) The non-lifting sign of invasive colon cancer. Gastrointest Endosc 40:485–489
Tada M (2001) Endoscopic mucosal resection of the stomach: initial description. Gastrointest Endosc Clin N Am 11:499–510
Kanamori T, Itoh M, Yokoyama Y et al (1996) Injection-incision-assisted snare resection of large sessile colorectal polyps. Gastrointest Endosc 43:189–195
Clark G, Peters J, Ireland A et al (1994) Nodal metastasis and sites of recurrence after en bloc esophagectomy for adenocarcinoma. Ann Thorac Surg 58:646–653
Yamao T, Shirao K, Ono H et al (1996) Risk factors for lymph node metastasis from intramucosal gastric carcinoma. Cancer 77:602–606
Takekoshi T, Baba Y, Ota H et al (1994) Endoscopic resection of early gastric carcinoma: results of a retrospective analysis of 308 cases. Endoscopy 26:352–358
Makuuchi H, Kise Y, Shimada H et al (1999) Endoscopic mucosal resection for early gastric cancer. Semin Surg Oncol 17:108–116
Tanaka S, Haruma K, Oka S et al (2001) Clinicopathologic features and endoscopic treatment of superficially spreading colorectal neoplasms larger than 20 mm. Gastrointest Endosc 54:62–66
Kim MH, Lee SK, Seo DW et al (2001) Tumors of the major duodenal papilla. Gastrointest Endosc 54:609–620
Binmoeller KF, Boaventura S, Ramsperger K et al (1993) Endoscopic snare excision of benign adenomas of the papilla of Vater. Gastrointest Endosc 39:127–131
Dormann A, Meisner S, Verin N et al (2004) Self-expanding metal stents for gastroduodenal malignancies: systematic review of their clinical effectiveness. Endoscopy 36:543–550
Pungpapong S, Raimondo M, Wallace MB et al (2004) Problematic esophageal strictures: emerging indications for self-expandable silicone stents. Am J Gastroenterol 99:AB363
Baron TH (2001) Expandable metal stents for the treatment of cancerous obstruction of the gastrointestinal tract. N Engl J Med 344:1681–1687
Adler DG, Young-Fadok TM, Smyrk T et al (2002) Preoperative chemoradiation therapy after placement of a self-expanding metal stent in a patient with an obstructing rectal cancer: clinical and pathologic findings. Gastrointest Endosc 55:435–437
Tajiri H, Matsuda K, Fujisaki J (2002) What can we see with the endoscope? Present status and future perspectives. Dig Endosc 14:131–137
Kara MA, Peters FP, Rosmolen WD et al (2005) High-resolution endoscopy plus chromoendoscopy or narrow-band imaging in Barrett’s esophagus: a prospective randomized crossover study. Endoscopy 37:929–936
Sambongi M, Igarashi M, Obi T et al (2000) Analysis of spectral reflectance of mucous membrane for endoscopic diagnosis. Med Phys 27:1396–1398
Kiesslich R, Jung M (2002) Magnification endoscopy: does it improve mucosal surface analysis for the diagnosis of gastrointestinal neoplasias? Endoscopy 34:819–822
Sharma P, Weston AP, Topalovski M et al (2003) Magnification chromoendoscopy for the detection of intestinal metaplasia and dysplasia in Barret’s oesophagus. Gut 52:24–27
No authors listed (2005) Paris workshop on columnar metaplasia in the esophagus and the esophagogastric junction. Paris, France, December 11–12, 2004. Endoscopy 37:879–920
Kuznetsov K, Lambert R, Rey J-F (2006) Narrow-band imaging: potential and limitations. Endoscopy 38:76–81
Lambert R and the Endoscopic Classification Review Group (2005) Update on the Paris classification of superficial neoplastic lesions in the digestive tract. Endoscopy 37:570–578
Yasuda K, Mukai H, Nakajima M (1992) Clinical application of ultrasonic probes in the biliary and pancreatic duct. Endoscopy 24(Suppl 1):370–375
De Angelis C, Martini M, Repici A et al (2007) Instruments and accessories for diagnostic endoscopic ultrasound (radial scanning and miniprobes). Minerva Med 98:253–260
Hasegawa N, Niwa Y, Arisawa T et al (1996) Preoperative staging of superficial esophageal carcinoma: comparison of an ultrasound probe and standard endoscopic ultrasonography. Gastrointest Endosc 44:388–393
Waxman I, Saitoh Y, Raju GS et al (2002) High-frequency probe EUS-assisted endoscopic mucosal resection: a therapeutic strategy for submucosal tumors of the GI tract. Gastrointest Endosc 55:44–49
Yasuda K, Mukai H, Nakajima M (1995) Endoscopic ultrasonography diagnosis of pancreatic cancer. Gastrointest Endosc Clin N Am 5:699–712
De Angelis C, Repici A, Carucci P et al (2007) Pancreatic cancer imaging; the new role of endoscopic ultrasound. JOP 8(Suppl I):85–97
De Angelis C, Senore C, Ciccone G et al (2005) Accuracy of endoscopic ultrasound guided fine needle aspiration (FNA) in the diagnosis of solid pancreatic masses: a systematic review of the literature. Endoscopy 37(Suppl I):A282–283
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer-Verlag Italia
About this chapter
Cite this chapter
De Angelis, C., Repici, A., Goss, M. (2010). Endoscopy and Surgical Oncology. In: Mussa, A. (eds) New Technologies in Surgical Oncology. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-1475-6_8
Download citation
DOI: https://doi.org/10.1007/978-88-470-1475-6_8
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-1474-9
Online ISBN: 978-88-470-1475-6
eBook Packages: MedicineMedicine (R0)