Waddingham William, Graham David G, Banks Matthew R
Department of Gastroenterology, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Department of Gastroenterology, University College London NHS Foundation Trust, London NW1 2BU, UK.
Diagnostics (Basel). 2024 Jan 30;14(3):301. doi: 10.3390/diagnostics14030301.
Endoscopy is the gold standard for the diagnosis of cancers and cancer precursors in the oesophagus and stomach. Early detection of upper GI cancers requires high-quality endoscopy and awareness of the subtle features these lesions carry. Endoscopists performing surveillance of high-risk patients including those with Barrett's oesophagus, previous squamous neoplasia or chronic atrophic gastritis should be familiar with endoscopic features, classification systems and sampling techniques to maximise the detection of early cancer. In this article, we review the current approach to diagnosis of these conditions and the latest advanced imaging and diagnostic techniques.
内镜检查是诊断食管和胃癌及癌前病变的金标准。早期发现上消化道癌需要高质量的内镜检查以及对这些病变细微特征的认识。对包括患有巴雷特食管、既往鳞状上皮瘤变或慢性萎缩性胃炎的高危患者进行监测的内镜医师应熟悉内镜特征、分类系统和采样技术,以最大限度地检测早期癌症。在本文中,我们回顾了目前对这些病症的诊断方法以及最新的先进成像和诊断技术。