Selective Surgical Approach to Superficial Barrett’s-Associated Adenocarcinoma
Over the past two decades a dramatic change has occurred in the epidemiology of esophageal cancer . Adenocarcinoma has replaced squamous cell carcinoma as the most common esophageal malignancy in most centers, as the incidence of adenocarcinoma has risen faster than any other malignancy in the United States . Description of the relation between Barrett’s esophagus (a known complication of gastroesophageal reflux disease) and adenocarcinoma of the distal esophagus and gastroesophageal junction has linked one of the most deadly malignancies known to humans to the most common upper gastrointestinal disorder in Western civilization. Recognition of this relation has resulted in increased detection of early esophageal cancers through early endoscopy in patients with reflux symptoms and the performance of surveillance endoscopy in those with Barrett’s esophagus.
KeywordsEsophageal Cancer Endoscopic Mucosal Resection Esophageal Adenocarcinoma Bloc Resection Esophageal Wall
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