Boyce G A
Gastroenterology Clinic, Monroe, Louisiana.
Chest Surg Clin N Am. 1994 May;4(2):257-68.
Endoscopy provides an accurate method for diagnosis of esophageal carcinoma. Strategies for surveillance of patients with Barrett's esophagus by endoscopic biopsy are available and will hopefully improve our ability to diagnose early stage adenocarcinoma. No well-defined high-risk group for squamous cell carcinoma exists that would justify routine endoscopic surveillance. Careful attention should be paid to subtle changes in mucosal topography and color, which may suggest early squamous carcinoma in older patients undergoing diagnostic endoscopy. Further research is necessary to define what role if any vital dye staining has in screening of patients in the United States for esophageal cancer.
内镜检查为食管癌的诊断提供了一种准确的方法。通过内镜活检对巴雷特食管患者进行监测的策略已经存在，有望提高我们诊断早期腺癌的能力。不存在明确的鳞状细胞癌高风险组，因此没有理由进行常规内镜监测。对于接受诊断性内镜检查的老年患者，应仔细注意黏膜形态和颜色的细微变化，这些变化可能提示早期鳞状细胞癌。有必要进行进一步研究，以确定活体染料染色在美国食管癌患者筛查中是否有作用。
