Endoscopy in gastric malignancy

Mellinger, John D.; Ponsky, Jeffrey L.

doi:10.1007/978-1-4615-3882-0_4

Cited by 5 publications

(3 citation statements)

References 27 publications

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“…In general at least seven biopsies are needed when the offered diagnostic accuracy is to approach 100% [17]. Tissue sample should be taken not only from the tumor itself, but from the junction between the grossly diseased and normal tissue, as well as from different parts of the stomach [18,26].…”

Section: Discussionmentioning

confidence: 99%

Is gastroscopy still a valid diagnostic tool in detecting gastric MALT lymphomas?

et al. 2002

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Section: Discussionmentioning

confidence: 99%

Is gastroscopy still a valid diagnostic tool in detecting gastric MALT lymphomas?

et al. 2002

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“…Endoscopic ultrasonography (EUS) and computed tomography (CT) are 2 useful tools in GC diagnosis. Especially, EUS is endorsed for GC preoperative staging, with a referential accuracy and sensitivity [2–4] . Some scholars even consider EUS as the gold standard technique in the loco-regional staging of gastric adenocarcinoma [5] .…”

Section: Introductionmentioning

confidence: 99%

“…Especially, EUS is endorsed for GC preoperative staging, with a referential accuracy and sensitivity. [2][3][4] Some scholars even consider EUS as the gold standard technique in the loco-regional staging of gastric adenocarcinoma. [5] EUS provides an opportunity to achieve more insight into the gastric tumor process's loco-regional circumstances, bringing about a lot of benefits in determining the gross appearance of GC and providing a reliable assessment of the GC stage.…”

Section: Introductionmentioning

confidence: 99%

A meta-analysis of the utility of transabdominal ultrasound for evaluation of gastric cancer

Zhang

Zhang²,

Liu³

et al. 2021

Medicine

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Background:Clinical discovery/staging of gastric cancer (GC) is crucial in designing the treatment strategies and largely decides GC patients’ survival. Endoscopic ultrasonography (EUS) and computed tomography (CT) are 2 useful GC diagnosis tools. High doses of radiation associated with CT make its use limited, while the process of EUS is stressful, time-consuming, and challenging. Transabdominal ultrasound (TAUS) is a promising candidate to address these shortcomings. This study aimed to meta-analyze the diagnostic accuracy and sensitivity of TAUS in discriminating between advanced and early GCs, as well as compare its utility with other imaging techniques.Methods: Literature searches were conducted using PubMed, Web of Science, Embase, and Cochrane Library databases up to 2019. Data were analyzed using RevMan software (Cochrane Collaboration, Oxford, UK), and pooled estimates of accuracy, sensitivity, and other features were acquired. Seven papers were eventually selected for meta-analysis.Results:TAUS had distinct diagnostic efficacies for early and advanced GC patients. The accuracy and sensitivity were significantly higher in the advanced group. A high color Doppler vascularity index and a lesion larger than 1 cm were 2 features of advanced GC. Moreover, TAUS had a comparable (but slightly higher) accuracy than CT and EUS.Conclusions:TAUS is more accurate and sensitive in diagnosing advanced GC compared to early GC. More features of advanced GC are required to improve the recognition ability. At least, TAUS can be considered as a complementary imaging diagnostic tool to CT and EUS.

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