Abstract
Purpose of review: Gastric cancer remains a prevalent disease with a 5-year mortality rate of less than 25%. This review focuses on the endoscopic detection, staging, and management of gastric adenocarcinoma. Recent findings: Confocal laser endomicroscopy and narrow band imaging have a 77-99.4% sensitivity for early cancer detection, a significant improvement when compared with white light endoscopy. Proper staging can be accomplished through endoscopic ultrasound and multidetector row-computed tomography, with accuracy as high as 90.1%. Endoscopic management of early gastric cancer is minimally invasive and can be preferable to surgery. In properly selected patients, endoscopic submucosal dissection has been found to have 100% 5-year survival. Summary: The recent advances in gastric cancer have greatly improved the care we can offer our patients in gastric oncology. The emerging technologies will hopefully continue to promote this trend.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 576-582 |
| Number of pages | 7 |
| Journal | Current Opinion in Gastroenterology |
| Volume | 27 |
| Issue number | 6 |
| DOIs | |
| State | Published - Oct 2011 |
| Externally published | Yes |
Keywords
- chromoendoscopy
- confocal laser endomicroscopy
- endoscopic mucosal resection
- endoscopic submucosal dissection
- endoscopic ultrasound
- gastric adenocarcinoma
- narrow band imaging
ASJC Scopus subject areas
- Gastroenterology