Early Adenocarcinoma of Barrett’s Esophagus in the East and the West: Is This an Endoscopic or a Surgical Problem?

  • Takuji Gotoda
  • Antonello Trecca


The authors discuss in this chapter the role of endoscopy in the diagnosis and treatment of esophagogastric junction tumors. Different trends concerning incidence and pathophysiology in the East and in the West are considered together with the current classification of the disease. Modern concepts and societies guidelines for the treatment of these tumors are discussed and compared between eastern and western approach. International collaborative studies would be helpful to improve the detection rate and the clinical outcomes in EGJ tumors.


Esophageal neoplasia Barrett’s esophagus Esophagogastric junction adenocarcinomas Early esophageal cancers Endoscopic mucosal resection Endoscopic submucosal dissection Radio-frequency ablation Siewert classification Esophagectomy 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Takuji Gotoda
    • 1
  • Antonello Trecca
    • 2
  1. 1.Division of Gastroenterology and Hepatology, Department of MedicineNihon University School of MedicineTokyoJapan
  2. 2.Gastroenterology and Operative Endoscopic UnitsI-Salus Project GroupRomeItaly

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