Prompt Upper Endoscopy Is an Appropriate Initial Management in Uninvestigated Chinese Patients With Typical Reflux Symptoms

2010 ◽  
Vol 105 (9) ◽  
pp. 1947-1952 ◽  
Author(s):  
Sui Peng ◽  
Li-Shou Xiong ◽  
Ying-Lian Xiao ◽  
Jin-Kun Lin ◽  
An-Jiang Wang ◽  
...  
2020 ◽  
Vol 27 (5) ◽  
pp. 312-317
Author(s):  
Angelo Zullo ◽  
Giulia Fiorini ◽  
Gabrio Bassotti ◽  
Francesco Bachetti ◽  
Fabio Monica ◽  
...  

2012 ◽  
Vol 03 (S 05) ◽  
pp. 017-022
Author(s):  
Nicholas J. Shaheen

AbstractBarrett’s esophagus (BE) is the precursor lesion to esophageal adenocarcinoma. This cancer has undergone a rapid increase in incidence in Western societies in the last 30 years. Current practices seek to lower the risk of death from this cancer by performing screening upper endoscopy on those with chronic reflux symptoms, and then surveillance upper endoscopy on those found to have BE at periodic intervals. While this approach is intuitively appealing, no data substantiate a decreased cancer risk with these practices, and substantial issues limit the effectiveness of this approach. This article outlines the current approaches to BE, their shortcomings, and presents data supporting the use of endoscopic therapy for subjects with BE and dysplasia. A significant and growing literature supports the use of endoscopic therapy in BE, and this approach, combined with improved risk stratification, may improve our care of subjects with BE.


2015 ◽  
Vol 21 (22) ◽  
pp. 6965-6973 ◽  
Author(s):  
Jing Sun ◽  
Yao-Zong Yuan ◽  
Xiao-Hua Hou ◽  
Duo-Wu Zou ◽  
Bin Lu ◽  
...  

2021 ◽  
Vol 27 (3) ◽  
pp. 377-389
Author(s):  
Ying Xu ◽  
Yan Wang ◽  
Yun Bao ◽  
Ting Yu ◽  
Yurong Tang ◽  
...  

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
F Takeda ◽  
R Aissar Sallum ◽  
U Ribeiro ◽  
I Cecconello ◽  
S Nahas

Abstract Introduction Esophagectomy remains good option to curative intent for esophageal carcinoma. However, quality of life for post-operative symptoms such as reflux, gastric emptying delayed and dysphagia is on debate. Some studies advocate relations between those symptoms to gastric tube conformation and discrepancies between intra and extracorporeal gastric tube construction. We aimed to analyze differences between both methods. Methods During 2014–2020, patients underwent to esophagectomy by thoracoscopic approach with cervical anastomosis (McKeown procedure). The abdominal part was performed by totally laparoscopic (group A) or hybrid (group B) hand-assisted gastric tubulization. Clinical parameters, symptoms of reflux, gastric tube evaluated by tomography, post-operative endoscopic findings were assessed and compared between groups. Multivariable analysis was performed. Results 36 group A and 56 group B, 55 (59.7%) were squamous cell carcinoma and 60 (66.6%) did neoadjuvant chemoradiotherapy. Mean follow-up was 32 months. Group A had more gastric tube diameter (p < 0.001), alimentary stasis (p < 0.001), redundant conformation (p < 0.05) and distant from axial central point of the thorax (p < 0.05); all evaluated by tomography. And also, more symptoms of reflux and gastric empty delay by reflux symptoms index (RSI) (p < 0.001); and numbers of esophagitis grade B and C by upper endoscopy (p < 0.01). After multivariable analysis, intracorporeal (p < 0.001) and diameter more than 4.2 cm (p < 0.01) was related to worst RSI. Conclusion The intracorporeal gastric tube reconstruction may lead wider gastric tube conformation, which might be related to gastric empty delay, resulting in intense reflux symptoms confirmed by upper endoscopy.


2016 ◽  
Vol 7 (1) ◽  
pp. 33
Author(s):  
Allaboursa Seid Adji ◽  
Xu Jun Ying ◽  
Xiang Xue Lian ◽  
Tabish Hussain ◽  
Diouf Gorgui ◽  
...  

<p class="jbls"><span lang="EN-GB">Objective: to evaluate the characteristics of esophageal motility in Chinese patients with typical symptoms of GERD, heartburn/regurgitation, underwent Upper endoscopy were divided into two subgroups: Erosive esophagitis,(RE) and nonErosive reflux disease(NERD) Compare with healthy controls volunteers. </span></p>


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