Opciones terapéuticas en el tratamiento del cáncer precoz de la unión esofagogástrica |
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Authors: | Félix Junquera Sonia Fernández-Ananín Carmen Balagué |
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Institution: | 1. Departamento de Endoscopia Digestiva, Consorci Hospitalari Parc Taulí, Sabadell, España;2. Servicio de Cirugía General y Digestiva, Hospital de la Santa Creu i Sant Pau, UAB, Barcelona, España |
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Abstract: | Early-stage (T1) esophagogastric junction cancer continues to represent 2-3% of all cases. Adenocarcinoma is the most frequent and important type, the main risk factors for which are gastroesophageal reflux and Barrett's esophagus with dysplasia.Patients with mucosal (T1a) or submucosal (T1b) involvement initially require a thorough digestive endoscopy, and narrow-band imaging can improve visualization. Endoscopic treatment of these lesions includes endoscopic mucosal resection, radiofrequency ablation and endoscopic submucosal dissection.Accurate staging is necessary in order to provide optimal treatment. The most precise staging technique in these cases is endoscopic ultrasound.The suspicion of deep invasion of the submucosa, presence of unfavorable anatomopathological characteristics or impossibility to perform endoscopic resection make it necessary to consider surgical resection. |
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Keywords: | Cancer precoz Unión esofagogástrica Adenocarcinoma Esófago de Barrett Resección endoscópica de la mucosa Disección endoscópica de la submucosa Ablación por radiofrecuencia Early cancer Esophagogastric junction Adenocarcinoma Barrett's esophagus Endoscopic mucosal resection Endoscopic submucosal dissection Radiofrequency ablation |
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