By Simone Giacopuzzi, Andrea Zanoni, Giovanni de Manzoni
This e-book bargains up to date and complete assurance of the prognosis and remedy of adenocarcinoma of the esophagogastric junction (EGJ). As is suitable within the period of multidisciplinary and multimodal remedy, the contributions of the entire a variety of experts concerned cooperatively within the remedy of EGJ melanoma are completely defined. special realization can also be paid to the importance of preneoplastic lesions, reminiscent of Barrett esophagus. the ultimate a part of the ebook represents a surgical atlas documenting the ideas utilized in the EGJ zone, with extraordinary colour pictures and stepwise description of strategies. opposed to the heritage of the quickly expanding prevalence in EGJ melanoma, particularly glaring in Western nations, there's a desire for higher uniformity in administration recommendations, which at present range considerably the world over. This booklet presents applicable information that may help all practitioners concerned with the analysis and therapy of EGJ cancers, together with surgeons, oncologists, and radiotherapists.
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This booklet bargains updated and finished insurance of the prognosis and treatment of adenocarcinoma of the esophagogastric junction (EGJ). As is suitable within the period of multidisciplinary and multimodal remedy, the contributions of all of the numerous experts concerned cooperatively within the therapy of EGJ melanoma are completely defined.
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Extra info for Adenocarcinoma of the Esophagogastric Junction: From Barrett's Esophagus to Cancer
Greenwald BD, Dumot JA, Abrams JA et al (2010) Endoscopic spray cryotherapy for esophageal cancer: safety and efficacy. Canto MI, Gorospe EC, Shin EJ et al (2009) Carbon dioxide (CO2) Cryotherapy is a safe and effective treatment of Barrett’s Esophagus (BE) with HGD/ Intramucosal Carcinoma. Gastrointest Endosc 69:AB341 11. Greenwald BD, Dumot JA, Horwhat D, Lightdale CJ, Abrams JA (2010) Safety, tolerability, and efficacy of endoscopic low-pressure liquid nitrogen spray cryotherapy in the esophagus.
Springer International Publishing Switzerland 2017 S. Giacopuzzi et al. 1007/978-3-319-28776-8_5 35 F. 2 Diagnosis Endoscopic resection (ER) in the form of EMR (endoscopic mucosa resection) and ESD Today it is possible to allow very close examination (endoscopic submucosal dissection) has been of this precancerous condition by the high- accepted and widely used as a standard treatment resolution endoscopic instruments. 1). visualization of entire BE and highlights irregular In East Asia expanded indications were sugarea.
Recently, a 4-cm-long circumferential 360 Express RFA Balloon catheter is developed which bypasses the need for sizing. Eight to twelve weeks after the first circumferential ablation treatment, patients undergo additional therapy with either Barrx 360 or Barrx 90 depending on the extent of residual Barrett’s. Focal ablation: Barrx 90 consists of 20 × 13-mm-sized electrode mounted on the tip of endoscope and placed at the 12 o’clock position in the endoscopic video image. Then, the endoscope is passed, and radiofrequency energy (at 12 J/cm2 in the United States and 15 J/cm2 in Europe) is applied twice after the endoscope is deflected and electrode is closely applied to the esophageal wall.