The role of staging investigations for oesophago-gastric carcinoma
Aims. To study the frequency with which unresectable disease was identified on pre-operative staging investigations in patients with oesophago-gastric carcinoma, and to audit whether a staging protocol had reduced the rate of exploratory surgery. Methods. Ninety-eight patients with oesophageal carci...
Gespeichert in:
| Veröffentlicht in: | European journal of surgical oncology 2004-04, Vol.30 (3), p.309-312 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 312 |
|---|---|
| container_issue | 3 |
| container_start_page | 309 |
| container_title | European journal of surgical oncology |
| container_volume | 30 |
| creator | Clements, D.M Bowrey, D.J Havard, T.J |
| description | Aims. To study the frequency with which unresectable disease was identified on pre-operative staging investigations in patients with oesophago-gastric carcinoma, and to audit whether a staging protocol had reduced the rate of exploratory surgery.
Methods. Ninety-eight patients with oesophageal carcinoma, 89 patients with adenocarcinoma of the gastro-oesophageal junction (GOJ) and 68 patients with gastric carcinoma were staged according to a protocol of computerised tomography, laparoscopy and endoscopic ultrasound.
Results. The frequency with which each investigation identified unresectable disease was as follows: (a) computerised tomography—oesophagus 12/67, GOJ 13/58, stomach 10/60; (b) laparoscopy—oesophagus 3/22, GOJ 5/45, stomach 8/23; and (c) endoscopic ultrasound—oesophagus 15/55, GOJ 3/30. By tumour location, rates of exploratory surgery were 1/18 for the oesophagus, 12/35 for the GOJ and 4/42 for the stomach. All of the staging failures in patients with GOJ carcinomas related to posterior tumour extension into the lesser sac.
Conclusions. Staging investigations precluded resection in one-third of patients, the greatest yield being for laparoscopy in gastric carcinoma. In spite of this, 18% of patients undergoing surgical intervention underwent exploratory surgery alone, notably patients with GOJ carcinoma. |
| doi_str_mv | 10.1016/j.ejso.2003.11.013 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71732720</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0748798303002762</els_id><sourcerecordid>71732720</sourcerecordid><originalsourceid>FETCH-LOGICAL-c267t-6c941b785fd1b69ce020321c78790382d082e304cd5103f7b94bb2680db22e6f3</originalsourceid><addsrcrecordid>eNp9kD1PwzAURS0EoqXwBxhQJraE9-wkTiQWqPiSKrGU2XKcl9RRGxc7rcS_J1UrsTG95d6j-w5jtwgJAuYPXUJdcAkHEAliAijO2BQzwWOOmTxnU5BpEcuyEBN2FUIHAKWQ5SWbYAa8EJhO2fNyRZF3a4pcE4VBt7ZvI9vvKQy21YN1fYga5yNHwW1XunVxq8PgrYmM9sb2bqOv2UWj14FuTnfGvl5flvP3ePH59jF_WsSG53KIc1OmWMkia2qs8tIQcBAcjSxkCaLgNRScBKSmzhBEI6syrSqeF1BXnFPeiBm7P3K33n3vxoFqY4Oh9Vr35HZBSZSCyxE6Y_wYNN6F4KlRW2832v8oBHUwpzp1MKcO5hSiGs2NpbsTfVdtqP6rnFSNgcdjgMYf95a8CsZSb6i2nsygamf_4_8CIKR-qg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71732720</pqid></control><display><type>article</type><title>The role of staging investigations for oesophago-gastric carcinoma</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Clements, D.M ; Bowrey, D.J ; Havard, T.J</creator><creatorcontrib>Clements, D.M ; Bowrey, D.J ; Havard, T.J</creatorcontrib><description>Aims. To study the frequency with which unresectable disease was identified on pre-operative staging investigations in patients with oesophago-gastric carcinoma, and to audit whether a staging protocol had reduced the rate of exploratory surgery.
Methods. Ninety-eight patients with oesophageal carcinoma, 89 patients with adenocarcinoma of the gastro-oesophageal junction (GOJ) and 68 patients with gastric carcinoma were staged according to a protocol of computerised tomography, laparoscopy and endoscopic ultrasound.
Results. The frequency with which each investigation identified unresectable disease was as follows: (a) computerised tomography—oesophagus 12/67, GOJ 13/58, stomach 10/60; (b) laparoscopy—oesophagus 3/22, GOJ 5/45, stomach 8/23; and (c) endoscopic ultrasound—oesophagus 15/55, GOJ 3/30. By tumour location, rates of exploratory surgery were 1/18 for the oesophagus, 12/35 for the GOJ and 4/42 for the stomach. All of the staging failures in patients with GOJ carcinomas related to posterior tumour extension into the lesser sac.
Conclusions. Staging investigations precluded resection in one-third of patients, the greatest yield being for laparoscopy in gastric carcinoma. In spite of this, 18% of patients undergoing surgical intervention underwent exploratory surgery alone, notably patients with GOJ carcinoma.</description><identifier>ISSN: 0748-7983</identifier><identifier>EISSN: 1532-2157</identifier><identifier>DOI: 10.1016/j.ejso.2003.11.013</identifier><identifier>PMID: 15028314</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adenocarcinoma - diagnosis ; Adenocarcinoma - pathology ; Adenocarcinoma - surgery ; Adult ; Aged ; Aged, 80 and over ; Carcinoma, Squamous Cell - diagnosis ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Clinical Protocols ; Endoscopic ultrasound ; Endosonography ; Esophageal Neoplasms - diagnosis ; Esophageal Neoplasms - pathology ; Esophageal Neoplasms - surgery ; Esophagectomy ; Esophagogastric Junction ; Female ; Gastrectomy ; Gastro-oesophageal junction ; Humans ; Laparoscopy ; Male ; Medical Audit ; Middle Aged ; Neoplasm Staging ; Oesophageal cancer ; Preoperative Care ; Staging ; Stomach cancer ; Stomach Neoplasms - diagnosis ; Stomach Neoplasms - pathology ; Stomach Neoplasms - surgery ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>European journal of surgical oncology, 2004-04, Vol.30 (3), p.309-312</ispartof><rights>2004 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c267t-6c941b785fd1b69ce020321c78790382d082e304cd5103f7b94bb2680db22e6f3</citedby><cites>FETCH-LOGICAL-c267t-6c941b785fd1b69ce020321c78790382d082e304cd5103f7b94bb2680db22e6f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejso.2003.11.013$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15028314$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Clements, D.M</creatorcontrib><creatorcontrib>Bowrey, D.J</creatorcontrib><creatorcontrib>Havard, T.J</creatorcontrib><title>The role of staging investigations for oesophago-gastric carcinoma</title><title>European journal of surgical oncology</title><addtitle>Eur J Surg Oncol</addtitle><description>Aims. To study the frequency with which unresectable disease was identified on pre-operative staging investigations in patients with oesophago-gastric carcinoma, and to audit whether a staging protocol had reduced the rate of exploratory surgery.
Methods. Ninety-eight patients with oesophageal carcinoma, 89 patients with adenocarcinoma of the gastro-oesophageal junction (GOJ) and 68 patients with gastric carcinoma were staged according to a protocol of computerised tomography, laparoscopy and endoscopic ultrasound.
Results. The frequency with which each investigation identified unresectable disease was as follows: (a) computerised tomography—oesophagus 12/67, GOJ 13/58, stomach 10/60; (b) laparoscopy—oesophagus 3/22, GOJ 5/45, stomach 8/23; and (c) endoscopic ultrasound—oesophagus 15/55, GOJ 3/30. By tumour location, rates of exploratory surgery were 1/18 for the oesophagus, 12/35 for the GOJ and 4/42 for the stomach. All of the staging failures in patients with GOJ carcinomas related to posterior tumour extension into the lesser sac.
Conclusions. Staging investigations precluded resection in one-third of patients, the greatest yield being for laparoscopy in gastric carcinoma. In spite of this, 18% of patients undergoing surgical intervention underwent exploratory surgery alone, notably patients with GOJ carcinoma.</description><subject>Adenocarcinoma - diagnosis</subject><subject>Adenocarcinoma - pathology</subject><subject>Adenocarcinoma - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Carcinoma, Squamous Cell - diagnosis</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Clinical Protocols</subject><subject>Endoscopic ultrasound</subject><subject>Endosonography</subject><subject>Esophageal Neoplasms - diagnosis</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagectomy</subject><subject>Esophagogastric Junction</subject><subject>Female</subject><subject>Gastrectomy</subject><subject>Gastro-oesophageal junction</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical Audit</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Oesophageal cancer</subject><subject>Preoperative Care</subject><subject>Staging</subject><subject>Stomach cancer</subject><subject>Stomach Neoplasms - diagnosis</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach Neoplasms - surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>0748-7983</issn><issn>1532-2157</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAURS0EoqXwBxhQJraE9-wkTiQWqPiSKrGU2XKcl9RRGxc7rcS_J1UrsTG95d6j-w5jtwgJAuYPXUJdcAkHEAliAijO2BQzwWOOmTxnU5BpEcuyEBN2FUIHAKWQ5SWbYAa8EJhO2fNyRZF3a4pcE4VBt7ZvI9vvKQy21YN1fYga5yNHwW1XunVxq8PgrYmM9sb2bqOv2UWj14FuTnfGvl5flvP3ePH59jF_WsSG53KIc1OmWMkia2qs8tIQcBAcjSxkCaLgNRScBKSmzhBEI6syrSqeF1BXnFPeiBm7P3K33n3vxoFqY4Oh9Vr35HZBSZSCyxE6Y_wYNN6F4KlRW2832v8oBHUwpzp1MKcO5hSiGs2NpbsTfVdtqP6rnFSNgcdjgMYf95a8CsZSb6i2nsygamf_4_8CIKR-qg</recordid><startdate>200404</startdate><enddate>200404</enddate><creator>Clements, D.M</creator><creator>Bowrey, D.J</creator><creator>Havard, T.J</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200404</creationdate><title>The role of staging investigations for oesophago-gastric carcinoma</title><author>Clements, D.M ; Bowrey, D.J ; Havard, T.J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c267t-6c941b785fd1b69ce020321c78790382d082e304cd5103f7b94bb2680db22e6f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adenocarcinoma - diagnosis</topic><topic>Adenocarcinoma - pathology</topic><topic>Adenocarcinoma - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Carcinoma, Squamous Cell - diagnosis</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Clinical Protocols</topic><topic>Endoscopic ultrasound</topic><topic>Endosonography</topic><topic>Esophageal Neoplasms - diagnosis</topic><topic>Esophageal Neoplasms - pathology</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagectomy</topic><topic>Esophagogastric Junction</topic><topic>Female</topic><topic>Gastrectomy</topic><topic>Gastro-oesophageal junction</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medical Audit</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Oesophageal cancer</topic><topic>Preoperative Care</topic><topic>Staging</topic><topic>Stomach cancer</topic><topic>Stomach Neoplasms - diagnosis</topic><topic>Stomach Neoplasms - pathology</topic><topic>Stomach Neoplasms - surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Clements, D.M</creatorcontrib><creatorcontrib>Bowrey, D.J</creatorcontrib><creatorcontrib>Havard, T.J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clements, D.M</au><au>Bowrey, D.J</au><au>Havard, T.J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of staging investigations for oesophago-gastric carcinoma</atitle><jtitle>European journal of surgical oncology</jtitle><addtitle>Eur J Surg Oncol</addtitle><date>2004-04</date><risdate>2004</risdate><volume>30</volume><issue>3</issue><spage>309</spage><epage>312</epage><pages>309-312</pages><issn>0748-7983</issn><eissn>1532-2157</eissn><abstract>Aims. To study the frequency with which unresectable disease was identified on pre-operative staging investigations in patients with oesophago-gastric carcinoma, and to audit whether a staging protocol had reduced the rate of exploratory surgery.
Methods. Ninety-eight patients with oesophageal carcinoma, 89 patients with adenocarcinoma of the gastro-oesophageal junction (GOJ) and 68 patients with gastric carcinoma were staged according to a protocol of computerised tomography, laparoscopy and endoscopic ultrasound.
Results. The frequency with which each investigation identified unresectable disease was as follows: (a) computerised tomography—oesophagus 12/67, GOJ 13/58, stomach 10/60; (b) laparoscopy—oesophagus 3/22, GOJ 5/45, stomach 8/23; and (c) endoscopic ultrasound—oesophagus 15/55, GOJ 3/30. By tumour location, rates of exploratory surgery were 1/18 for the oesophagus, 12/35 for the GOJ and 4/42 for the stomach. All of the staging failures in patients with GOJ carcinomas related to posterior tumour extension into the lesser sac.
Conclusions. Staging investigations precluded resection in one-third of patients, the greatest yield being for laparoscopy in gastric carcinoma. In spite of this, 18% of patients undergoing surgical intervention underwent exploratory surgery alone, notably patients with GOJ carcinoma.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>15028314</pmid><doi>10.1016/j.ejso.2003.11.013</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0748-7983 |
| ispartof | European journal of surgical oncology, 2004-04, Vol.30 (3), p.309-312 |
| issn | 0748-7983 1532-2157 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_71732720 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adenocarcinoma - diagnosis Adenocarcinoma - pathology Adenocarcinoma - surgery Adult Aged Aged, 80 and over Carcinoma, Squamous Cell - diagnosis Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery Clinical Protocols Endoscopic ultrasound Endosonography Esophageal Neoplasms - diagnosis Esophageal Neoplasms - pathology Esophageal Neoplasms - surgery Esophagectomy Esophagogastric Junction Female Gastrectomy Gastro-oesophageal junction Humans Laparoscopy Male Medical Audit Middle Aged Neoplasm Staging Oesophageal cancer Preoperative Care Staging Stomach cancer Stomach Neoplasms - diagnosis Stomach Neoplasms - pathology Stomach Neoplasms - surgery Tomography, X-Ray Computed Treatment Outcome |
| title | The role of staging investigations for oesophago-gastric carcinoma |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T00%3A29%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20role%20of%20staging%20investigations%20for%20oesophago-gastric%20carcinoma&rft.jtitle=European%20journal%20of%20surgical%20oncology&rft.au=Clements,%20D.M&rft.date=2004-04&rft.volume=30&rft.issue=3&rft.spage=309&rft.epage=312&rft.pages=309-312&rft.issn=0748-7983&rft.eissn=1532-2157&rft_id=info:doi/10.1016/j.ejso.2003.11.013&rft_dat=%3Cproquest_cross%3E71732720%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=71732720&rft_id=info:pmid/15028314&rft_els_id=S0748798303002762&rfr_iscdi=true |