Advances in the diagnosis and surveillance of Barrett's esophagus

被引：9

作者：

Trindade, Arvind J. ^{[1
]}

Navaneethan, Udayakumar ^{[2
]}

Aslanian, Harry R. ^{[3
]}

Bhutani, Manoop S. ^{[4
]}

Krishnan, Kumar ^{[5
,6
]}

Lichtenstein, David R. ^{[7
]}

Melson, Joshua ^{[8
]}

Pannala, Rahul ^{[9
]}

Parsi, Mansour A. ^{[10
]}

Schulman, Allison R. ^{[11
]}

Sethi, Amrita ^{[12
]}

Trikudanathan, Guru ^{[13
]}

Watson, Rabindra R. ^{[14
]}

Maple, John T. ^{[15
]}

机构：

[1] Northwell Hlth Syst, Zucker Sch Med Hofstra Northwell, New Hyde Pk, NY USA

[2] Florida Hosp, Ctr Intervent Endoscopy, Orlando, FL USA

[3] Yale Univ, Dept Internal Med, Sect Digest Dis, New Haven, CT USA

[4] Univ Texas MD Anderson Canc Ctr, Dept Gastroenterol Hepatol & Nutr, Houston, TX 77030 USA

[5] Harvard Med Sch, Dept Internal Med, Div Gastroenterol, Boston, MA 02115 USA

[6] Massachusetts Gen Hosp, Boston, MA 02114 USA

[7] Boston Univ, Sch Med, Boston Med Ctr, Div Gastroenterol, Boston, MA 02118 USA

[8] Rush Univ, Med Ctr, Dept Internal Med, Div Digest Dis, Chicago, IL 60612 USA

[9] Mayo Clin Arizona, Div Gastroenterol & Hepatol, Scottsdale, AZ USA

[10] Tulane Univ, Dept Gastroenterol & Hepatol, New Orleans, LA 70118 USA

[11] Univ Michigan, Div Gastroenterol & Hepatol, Ann Arbor, MI 48109 USA

[12] Columbia Univ, Med Ctr New York Presbyterian, Div Digest & Liver Dis, New York, NY USA

[13] Univ Minnesota, Div Gastroenterol, Minneapolis, MN USA

[14] Calif Pacific Med Ctr, Intervent Endoscopy Serv, San Francisco, CA USA

[15] Univ Oklahoma, Hlth Sci Ctr, Div Digest Dis & Nutr, 800 Stanton L Young Blvd,AAT 7400, Oklahoma City, OK 73104 USA

来源：

GASTROINTESTINAL ENDOSCOPY | 2019年 / 90卷 / 03期

关键词：

VOLUMETRIC LASER ENDOMICROSCOPY; HIGH-GRADE DYSPLASIA; IN-SITU HYBRIDIZATION; INTEROBSERVER AGREEMENT; NEOPLASTIC PROGRESSION; BIOPSY PROTOCOL; ADENOCARCINOMA; CYTOLOGY; RISK; FEASIBILITY;

D O I：

10.1016/j.gie.2019.05.004

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background and Aims: Most patients diagnosed with esophageal adenocarcinoma do not carry a known diagnosis of Barrett's esophagus (BE), suggesting that an improved approach to screening may potentially be of benefit. The use of dysplasia as a biomarker and random biopsy protocols for its detection has limitations. In addition, detecting and appropriately classifying dysplasia in patients with known BE can be difficult. Methods: This document reviews several technologies with a recently established or potential role in the diagnosis and/or surveillance of BE as well as risk stratification for progression to esophageal adenocarcinoma. Results: Two technologies were reviewed for imaging or tissue sampling: (1) wide-area transepithelial sampling and (2) volumetric laser endomicroscopy. Four technologies were reviewed for molecular and biomarker technologies for diagnosis and risk stratification: (1) Cytosponge, (2) mutational load, (3) fluorescence in situ hybridization, and (4) immunohistochemistry. Conclusion: Several technologies discussed in this document may improve dysplasia detection in BE in a wide-field manner. Moreover, the addition of different biomarkers may aid in enhanced risk stratification to optimize approaches to surveillance or treatment for patients with BE.

引用

页码：325 / 334

页数：10

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