Year 2019 / Volume 111 / Number 2
Letter
Minute adenocarcinoma on Barrett's esophagus: the importance of directed biopsy sampling

164

DOI: 10.17235/reed.2018.5579/2018

Violeta María Sastre Lozano, José Jaime Vicente López, Senador Morán Sánchez,

Abstract
Patients with Barrett's esophagus (BE) have a risk of esophageal cancer thirty times higher than the general population. The grade of dysplasia must be established during endoscopic follow-up. The effectiveness of endoscopic surveillance programs for the diagnosis of advanced esophageal adenocarcinoma has been questioned. Several techniques are available for the early identification of high-grade dysplasia and biopsy sampling in all four quadrants every 2 cm is the most common procedure. However, accurate protocol compliance is challenging for some conditions, including long BE, due to the excessive number of biopsies that may be required.
Share Button
New comment
Comments
No comments for this article
References
1. Arroyo-Martínez Q, Rodríguez-Téllez M, García-Escudero A et al. Epidemiology of Barrett's esophagus and esophageal adenocarcinoma in Spain. A unicentric study. Rev Esp Enferm Dig. 2016;108(10):609-617
2. Shaheen NJ, Falk GW, Iyer PG, et al. ACG Clinical Guideline: Diagnosis and Management of Barrett's Esophagus. Am J Gastroenterol 2016; 111:30.
3. Vennalaganti PR, et al. Increased detection of Barrett’s esophagus–associated neoplasia using wide-area trans-epithelial sampling: a multicenter, prospective, randomized trial. Gastrointestinal Endoscopy 2018; 87(2):348-355.
4. Espinel J, Pinedo E, Rascarachi G. Endoscopic Mucosal Resection with a multiband ligator for the treatment of Barrett´s high-grade dysplasia and early gastric cancer. Rev Esp Enf Dig 2009. 101(6). 403-407.
5. Fergus JQ, Subramaniam S, Kandiah K, Thayalasekaran S, Bhandari P. Acetic acid chromoendoscopy: Improving neoplasia detection in Barrett's esophagus. World J Gastroenterol 2016 July 7; 22(25): 5753-5760.
Related articles

Letter

Colon adenocarcinoma associated with intestinal sarcoidosis

DOI: 10.17235/reed.2022.9279/2022

Letter

An unexpected gastric cardia submucosal lesion

DOI: 10.17235/reed.2022.9260/2022

Digestive Diseases Image

Intrabiliary metastasis of colorectal adenocarcinoma: the SPY perspective

DOI: 10.17235/reed.2022.9202/2022

Digestive Diseases Image

An unusual finding in gastroesophageal surgery: gastric anthracosis

DOI: 10.17235/reed.2022.8882/2022

Letter

Development of Barrett’s esophagus after a total gastrectomy

DOI: 10.17235/reed.2020.7041/2020

Letter

Colonic adenocarcinoma arising from traditional serrated adenoma

DOI: 10.17235/reed.2020.6818/2019

Digestive Diseases Image

Groove pancreatitis: a rare cause of severe gastric dilation

DOI: 10.17235/reed.2020.6765/2019

Letter

Barrett’s esophagus is a controversial condition

DOI: 10.17235/reed.2020.6736/2019

Case Report

Pancreatobiliary maljunction: association with gallbladder cancer

DOI: 10.17235/reed.2019.6127/2018

Digestive Diseases Image

Painless jaundice as an initial presentation of lung adenocarcinoma

DOI: 10.17235/reed.2018.5587/2018

Digestive Diseases Image

Right-colon mucinous adenocarcinoma mimicking a hydatid cyst

DOI: 10.17235/reed.2017.5041/2017

Digestive Diseases Image

Sister Mary Joseph´s nodule

Letter to the Editor

Synchronic gastric and pancreatic ductal adenocarcinoma. A case report

DOI: 10.17235/reed.2015.3720/2014

Citation tools
Sastre Lozano V, Vicente López J, Morán Sánchez S. Minute adenocarcinoma on Barrett's esophagus: the importance of directed biopsy sampling . 5579/2018


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1004 visits.
This article has been downloaded 198 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 06/03/2018

Accepted: 04/07/2018

Online First: 15/10/2018

Published: 01/02/2019

Article Online First time: 223 days

Article editing time: 332 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology