Skip Navigation
Skip to contents

Clin Endosc : Clinical Endoscopy

OPEN ACCESS

Author index

Page Path
HOME > Browse Articles > Author index
Search
Ralph DaCosta 1 Article
Advanced Imaging Technologies for the Detection of Dysplasia and Early Cancer in Barrett Esophagus
Alberto Espino, Maria Cirocco, Ralph DaCosta, Norman Marcon
Clin Endosc 2014;47(1):47-54.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.47
AbstractAbstract PDFPubReaderePub

Advanced esophageal adenocarcinomas arising from Barrett esophagus (BE) are tumors with an increasing incidence and poor prognosis. The aim of endoscopic surveillance of BE is to detect dysplasia, particularly high-grade dysplasia and intramucosal cancers that can subsequently be treated endoscopically before progression to invasive cancer with lymph node metastases. Current surveillance practice standards require the collection of random 4-quadrant biopsy specimens over every 1 to 2 cm of BE (Seattle protocol) to detect dysplasia with the assistance of white light endoscopy, in addition to performing targeted biopsies of recognizable lesions. This approach is labor-intensive but should currently be considered state of the art. Chromoendoscopy, virtual chromoendoscopy (e.g., narrow band imaging), and confocal laser endomicroscopy, in addition to high-definition standard endoscopy, might increase the diagnostic yield for the detection of dysplastic lesions. Until these modalities have been demonstrated to enhance efficiency or cost effectiveness, the standard protocol will remain careful examination using conventional off the shelf high-resolution endoscopes, combined with as longer inspection time which is associated with increased detection of dysplasia.

Citations

Citations to this article as recorded by  
  • Chinese consensus on multidisciplinary diagnosis and treatment of gastroesophageal reflux disease 2022
    Zhiwei Hu, Jimin Wu, Zhonggao Wang, Xinghua Bai, Yu Lan, Kefang Lai, Abudureyimu Kelimu, Feng Ji, Zhenling Ji, Diyu Huang, Zhiwei Hu, Xiaohua Hou, Jianyu Hao, Zhining Fan, Xiaoping Chen, Dong Chen, Shengliang Chen, Jinrang Li, Junxiang Li, Lan Li, Peng Li
    Gastroenterology & Endoscopy.2023; 1(2): 33.     CrossRef
  • Endoscopic Diagnosis and Management of Barrett’s Esophagus with Low-Grade Dysplasia
    Francesco Maione, Alessia Chini, Rosa Maione, Michele Manigrasso, Alessandra Marello, Gianluca Cassese, Nicola Gennarelli, Marco Milone, Giovanni Domenico De Palma
    Diagnostics.2022; 12(5): 1295.     CrossRef
  • Taking the Next Steps in Endoscopic Visual Assessment of Barrett’s Esophagus: A Pilot Study
    Roxana Chis, Simon Hew, Wilma Hopman, Lawrence Hookey, Robert Bechara
    Clinical and Experimental Gastroenterology.2021; Volume 14: 113.     CrossRef
  • Machine Learning Creates a Simple Endoscopic Classification System that Improves Dysplasia Detection in Barrett’s Oesophagus amongst Non-expert Endoscopists
    Vinay Sehgal, Avi Rosenfeld, David G. Graham, Gideon Lipman, Raf Bisschops, Krish Ragunath, Manuel Rodriguez-Justo, Marco Novelli, Matthew R. Banks, Rehan J. Haidry, Laurence B. Lovat
    Gastroenterology Research and Practice.2018; 2018: 1.     CrossRef
  • Care of the Postablation Patient
    Leila Kia, Srinadh Komanduri
    Gastrointestinal Endoscopy Clinics of North America.2017; 27(3): 515.     CrossRef
  • Diagnosis and Endoscopic Management of Barrett’s Esophagus: an Italian Experts’ Opinion based document
    Guido Costamagna, Giorgio Battaglia, Alessandro Repici, Roberto Fiocca, Massimo Rugge, Cristiano Spada, Vincenzo Villanacci
    Digestive and Liver Disease.2017; 49(12): 1306.     CrossRef
  • Advances in the Endoscopic Diagnosis of Barrett Esophagus
    Ashley H. Davis-Yadley, Kevin G. Neill, Mokenge P. Malafa, Luis R. Peña
    Cancer Control.2016; 23(1): 67.     CrossRef
  • Post-ablation surveillance in Barrett's esophagus: A review of the literature
    Matthew W Stier, Vani J Konda, John Hart, Irving Waxman
    World Journal of Gastroenterology.2016; 22(17): 4297.     CrossRef
  • Current Status of Management of Malignant Disease: Current Management of Esophageal Cancer
    Jonathan Cools-Lartigue, Jonathan Spicer, Lorenzo E. Ferri
    Journal of Gastrointestinal Surgery.2015; 19(5): 964.     CrossRef
  • Advances in diagnostic and therapeutic endoscopy
    Rehan Haidry, David Graham, Adil Butt, Laurence Lovat
    Medicine.2015; 43(6): 334.     CrossRef
  • 7,133 View
  • 61 Download
  • 9 Web of Science
  • 10 Crossref
Close layer

Clin Endosc : Clinical Endoscopy Twitter Facebook
Close layer
TOP