Preoperative assessment of resectability in gastroesophageal carcinoma by linear array endoscopic ultrasonography

Preoperative endoscopic ultrasonography (EUS) was performed in 51 consecutive patients with biopsy-verified esophageal or gastric cancer, to judge resectability. A comparison between preoperative EUS and surgical (and histologic) findings was possible in 39 patients (76%). In 33 of these 39 patients...

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Bibliographic Details
Published inScandinavian journal of gastroenterology Vol. 29; no. 4; p. 341
Main Authors Mortensen, M B, Pedersen, S A, Hovendal, C P
Format Journal Article
LanguageEnglish
Published England 1994
Subjects
Adenocarcinoma - diagnostic imaging
Adenocarcinoma - surgery
Adult
Aged
Aged, 80 and over
Carcinoma, Squamous Cell - diagnostic imaging
Carcinoma, Squamous Cell - surgery
Esophageal Neoplasms - diagnostic imaging
Esophageal Neoplasms - surgery
Esophagoscopy
Female
Gastroscopy
Humans
Male
Middle Aged
Prospective Studies
Stomach Neoplasms - diagnostic imaging
Stomach Neoplasms - surgery
Ultrasonography
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Summary:Preoperative endoscopic ultrasonography (EUS) was performed in 51 consecutive patients with biopsy-verified esophageal or gastric cancer, to judge resectability. A comparison between preoperative EUS and surgical (and histologic) findings was possible in 39 patients (76%). In 33 of these 39 patients (85%) EUS made a correct preoperative assessment. In three cases misinterpretation was due to metastasis outside the viewing field of the echoendoscope. Although based on preliminary experience, we are convinced that EUS will help us to select patients who will ultimately benefit from surgery. Further prospective studies are necessary to clarify the possible benefits in terms of costs, effects of palliation in selected patients, and long-term survival.
ISSN:0036-5521
DOI:10.3109/00365529409094846