Rio de Janeiro Global Consensus on Landmarks, Definitions, and Classifications in Barrett’s Esophagus: World Endoscopy Organization Delphi Study

Emura, Fabián; Chandrasekar, Viveksandeep Thoguluva; Hassan, Cesare; Armstrong, David; Messmann, Helmut; Arantes, Vitor; Araya, Raúl; Barrera-León, Óscar J; Bergman, Jjghm; Bandhari, Pradeep; Bourke, Michael J.; Cerisoli, Cecilio L.; Chiu, Philip Wai‐Yan; Desai, Madhav; Dinis‐Ribeiro, Mário; Falk, Gary W.; Fujishiro, Mitsuhiro; Gaddam, Srinivas; Goda, Kenichi; Gross, Seth A.; Haidry, Rehan; Ho, Lawrence K.Y.; Iyer, Prasad G.; Kashin, Sergey; Kothari, Shivangi; Lee, Yeong Yeh; Matsuda, Koji; Neuhaus, Horst; Oyama, Tsuneo; Ragunath, Krish; Repici, Alessandro; Shaheen, Nicholas J.; Singh, Rajvinder; Sobrino-Cossío, Sergio; Wang, Linghua; Waxman, Irving

doi:10.1053/j.gastro.2022.03.022

Cited by 8 publications

(6 citation statements)

References 72 publications

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“…Simultaneously as for the initial diagnosis of BE, irregular EGJ <1 cm should not be defined as recurrent BE. 4,5,23,24 We realize that the interpretation of this definition may be hampered by subjectivity, and, therefore, all images of patients with potential BE tongues and/or irregular EGJ were reviewed centrally by 2 expert endoscopists. In those cases when the endoscopist is in doubt whether a (small) BE tongue of >1 cm persists, the endoscopist may perform a biopsy from this area of interest for further information.…”

Section: Discussionmentioning

confidence: 99%

Clinical Relevance of Random Biopsies From the Esophagogastric Junction After Complete Eradication of Barrett’s Esophagus is Low

Frederiks

Munster

Nieuwenhuis

et al. 2023

Clinical Gastroenterology and Hepatology

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Section: Discussionmentioning

confidence: 99%

Clinical Relevance of Random Biopsies From the Esophagogastric Junction After Complete Eradication of Barrett’s Esophagus is Low

Frederiks

Munster

Nieuwenhuis

et al. 2023

Clinical Gastroenterology and Hepatology

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“…To reduce the likelihood of recurrent dysplasia and metachronous cancer, current BE management strategies recommend endoscopic resection of visible neoplasia followed by RFA sessions until complete eradication of intestinal metaplasia is achieved. 14 Further studies are warranted to demonstrate whether extensive removal of metaplastic tissue by using WF-ESD might increase the likelihood of achieving complete eradication of intestinal metaplasia with fewer RFA sessions.…”

Section: Discussionmentioning

confidence: 99%

Wide-field ESD for Barrett's adenocarcinoma at the gastroesophageal junction: technical approaches to facilitate en bloc R0 resection

et al. 2022

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“…BE was defined as an esophagus in which any portion of the normal distal squamous epithelial lining was replaced by metaplastic columnar epithelium as clearly visible endoscopically ≥ 1 cm above the esophagogastric junction and confirmed histopathologically 20 . The esophagogastric junction was defined as the end of the lower esophageal palisade vessels or upper limit of the gastric fold 21 22 .…”

Section: Methodsmentioning

confidence: 99%

Effect of adding acetic acid when performing magnifying endoscopy with narrow band imaging for diagnosis of Barrett’s esophageal adenocarcinoma

et al. 2022

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Background and Study Aims: Magnifying endoscopy with narrow band imaging (M-NBI) was developed to diagnose Barrett’s esophageal adenocarcinoma (BEA); however, this method remains challenging for inexperienced endoscopists. We aimed to evaluate a modified M-NBI technique that included spraying acetic acid (M-AANBI). Patients and Methods: Eight endoscopists retrospectively examined 456 endoscopic images obtained from 28 patients with 29 endoscopically resected BEA lesions using three validation schemes: Validation 1 (260 images), wherein the diagnostic performances of M-NBI and M-AANBI were compared—the dataset included 65 images each of BEA and non-neoplastic Barrett’s esophagus (NNBE) obtained using each modality; validation 2 (112 images), wherein 56 pairs of M-NBI and M-AANBI images were prepared from the same BEA and NNBE lesions, and diagnoses derived using M-NBI alone were compared to those obtained using both M-NBI and M-AANBI; and validation 3 (84 images), wherein the ease of identifying the BEA demarcation line (DL) was scored via a visual analog scale in 28 patients using magnifying endoscopy with white-light imaging (M-WLI), M-NBI, and M-AANBI. Results: For validation 1, M-AANBI was superior to M-NBI in terms of sensitivity (90.8% vs. 64.6%), specificity (98.5% vs. 76.9%), and accuracy (94.6% vs. 70.4%) (all P<0.05). For validation 2, the accuracy of M-NBI alone was significantly improved when combined with M-AANBI (from 70.5% to 89.3%; P<0.05). For validation 3, M-AANBI had the highest mean score for ease of DL recognition (8.75) compared to M-WLI (3.63) and M-NBI (6.25) (all P<0.001). Conclusion: Using M-AANBI might improve the accuracy of BEA diagnosis.

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Rio de Janeiro Global Consensus on Landmarks, Definitions, and Classifications in Barrett’s Esophagus: World Endoscopy Organization Delphi Study

Cited by 8 publications

References 72 publications

Clinical Relevance of Random Biopsies From the Esophagogastric Junction After Complete Eradication of Barrett’s Esophagus is Low

Clinical Relevance of Random Biopsies From the Esophagogastric Junction After Complete Eradication of Barrett’s Esophagus is Low

Wide-field ESD for Barrett's adenocarcinoma at the gastroesophageal junction: technical approaches to facilitate en bloc R0 resection

Effect of adding acetic acid when performing magnifying endoscopy with narrow band imaging for diagnosis of Barrett’s esophageal adenocarcinoma

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