Effect of endoscopic ultrasonography on the management of 100 consecutive patients with oesophageal and junctional carcinoma
Background Endoscopic ultrasonography (EUS) offers very accurate tumour and node staging information for oesophagogastric cancer. The aim was to determine whether the addition of EUS directly influenced the definitive management plan for individual patients. Methods Personal and staging information...
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| Veröffentlicht in: | British journal of surgery 2003-10, Vol.90 (10), p.1220-1224 |
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| creator | Preston, S. R. Clark, G. W. B. Martin, I. G. Sue Ling, H. M. Harris, K. M. |
| description | Background
Endoscopic ultrasonography (EUS) offers very accurate tumour and node staging information for oesophagogastric cancer. The aim was to determine whether the addition of EUS directly influenced the definitive management plan for individual patients.
Methods
Personal and staging information from 100 consecutive patients with carcinoma of the oesophagus or oesophagogastric junction were summarized and blinded. Three consultant oesophagogastric surgeons independently made a management decision for each patient, in the presence and absence of the EUS data. All scored their perceived value of the EUS staging data for each patient.
Results
EUS was deemed useful in 63–87 per cent of patients and its addition resulted in an increased number of concordant management plans (from 53 to 62 per cent), and increased agreement between surgeons. The greatest change in concordant management was an increased referral of patients for non‐surgical palliation.
Conclusion
The addition of EUS to the staging of patients with oesophageal and oesophagogastric junction cancer significantly altered the management strategy for some of these patients. Copyright © 2003 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Helpful in selection of patients for surgery |
| doi_str_mv | 10.1002/bjs.4268 |
| format | Article |
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Endoscopic ultrasonography (EUS) offers very accurate tumour and node staging information for oesophagogastric cancer. The aim was to determine whether the addition of EUS directly influenced the definitive management plan for individual patients.
Methods
Personal and staging information from 100 consecutive patients with carcinoma of the oesophagus or oesophagogastric junction were summarized and blinded. Three consultant oesophagogastric surgeons independently made a management decision for each patient, in the presence and absence of the EUS data. All scored their perceived value of the EUS staging data for each patient.
Results
EUS was deemed useful in 63–87 per cent of patients and its addition resulted in an increased number of concordant management plans (from 53 to 62 per cent), and increased agreement between surgeons. The greatest change in concordant management was an increased referral of patients for non‐surgical palliation.
Conclusion
The addition of EUS to the staging of patients with oesophageal and oesophagogastric junction cancer significantly altered the management strategy for some of these patients. Copyright © 2003 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Helpful in selection of patients for surgery</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.4268</identifier><identifier>PMID: 14515290</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adenocarcinoma - diagnostic imaging ; Adenocarcinoma - pathology ; Adenocarcinoma - surgery ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Carcinoma, Adenosquamous - diagnostic imaging ; Carcinoma, Adenosquamous - pathology ; Carcinoma, Adenosquamous - surgery ; Carcinoma, Squamous Cell - diagnostic imaging ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Chemotherapy, Adjuvant ; Decision Making ; Digestive system. Abdomen ; Double-Blind Method ; Endosonography - methods ; Esophageal Neoplasms - diagnostic imaging ; Esophageal Neoplasms - pathology ; Esophageal Neoplasms - surgery ; Esophagogastric Junction ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Neoplasm Staging - methods ; Observer Variation ; Radiotherapy, Adjuvant ; Ultrasonic investigative techniques</subject><ispartof>British journal of surgery, 2003-10, Vol.90 (10), p.1220-1224</ispartof><rights>Copyright © 2003 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.</rights><rights>2004 INIST-CNRS</rights><rights>Copyright 2003 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3528-2d478524838b93574e5098136c2289338e8f0d48d577893c5dfdefa7b0a57fc13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fbjs.4268$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fbjs.4268$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,1411,23909,23910,25118,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15180454$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14515290$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Preston, S. R.</creatorcontrib><creatorcontrib>Clark, G. W. B.</creatorcontrib><creatorcontrib>Martin, I. G.</creatorcontrib><creatorcontrib>Sue Ling, H. M.</creatorcontrib><creatorcontrib>Harris, K. M.</creatorcontrib><title>Effect of endoscopic ultrasonography on the management of 100 consecutive patients with oesophageal and junctional carcinoma</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Background
Endoscopic ultrasonography (EUS) offers very accurate tumour and node staging information for oesophagogastric cancer. The aim was to determine whether the addition of EUS directly influenced the definitive management plan for individual patients.
Methods
Personal and staging information from 100 consecutive patients with carcinoma of the oesophagus or oesophagogastric junction were summarized and blinded. Three consultant oesophagogastric surgeons independently made a management decision for each patient, in the presence and absence of the EUS data. All scored their perceived value of the EUS staging data for each patient.
Results
EUS was deemed useful in 63–87 per cent of patients and its addition resulted in an increased number of concordant management plans (from 53 to 62 per cent), and increased agreement between surgeons. The greatest change in concordant management was an increased referral of patients for non‐surgical palliation.
Conclusion
The addition of EUS to the staging of patients with oesophageal and oesophagogastric junction cancer significantly altered the management strategy for some of these patients. Copyright © 2003 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Helpful in selection of patients for surgery</description><subject>Adenocarcinoma - diagnostic imaging</subject><subject>Adenocarcinoma - pathology</subject><subject>Adenocarcinoma - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Adenosquamous - diagnostic imaging</subject><subject>Carcinoma, Adenosquamous - pathology</subject><subject>Carcinoma, Adenosquamous - surgery</subject><subject>Carcinoma, Squamous Cell - diagnostic imaging</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Chemotherapy, Adjuvant</subject><subject>Decision Making</subject><subject>Digestive system. Abdomen</subject><subject>Double-Blind Method</subject><subject>Endosonography - methods</subject><subject>Esophageal Neoplasms - diagnostic imaging</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagogastric Junction</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasm Staging - methods</subject><subject>Observer Variation</subject><subject>Radiotherapy, Adjuvant</subject><subject>Ultrasonic investigative techniques</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0U1vEzEQBmALUdG0IPELkC9w29Yf67VzhKiktBUcCurRcrzjxmHX3q69lEj98Tg0kNNoNI_G8rwIvaXkjBLCzlebdFazRr1AM8obUTHaqJdoRgiRFeWMH6OTlDaEUE4Ee4WOaS2oYHMyQ08XzoHNODoMoY3JxsFbPHV5NCmGeD-aYb3FMeC8BtybYO6hh_DXl5exjSGBnbL_BXgw2ZdRwo8-r3GEFId14abDJrR4MwWbfQyltWa0PsTevEZHznQJ3uzrKfrx-eL74rK6-bb8svh4U1kumKpYW0slWK24Ws25kDUIMlflo5YxNedcgXKkrVUrpCy9Fa1rwRm5IkZIZyk_RR-e9w5jfJggZd37ZKHrTIA4JS2FZLvTFPhuD6dVD60eRt-bcav_3auA93tgkjWdG02wPh2coIrUoi6uenaPvoPtYU70Li9d8tK7vPSnq9tdPXifMvz-7834UzeSS6Hvvi41vbtdXi5oo6_5H6Fzltg</recordid><startdate>200310</startdate><enddate>200310</enddate><creator>Preston, S. R.</creator><creator>Clark, G. W. B.</creator><creator>Martin, I. G.</creator><creator>Sue Ling, H. M.</creator><creator>Harris, K. M.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200310</creationdate><title>Effect of endoscopic ultrasonography on the management of 100 consecutive patients with oesophageal and junctional carcinoma</title><author>Preston, S. R. ; Clark, G. W. B. ; Martin, I. G. ; Sue Ling, H. M. ; Harris, K. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3528-2d478524838b93574e5098136c2289338e8f0d48d577893c5dfdefa7b0a57fc13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adenocarcinoma - diagnostic imaging</topic><topic>Adenocarcinoma - pathology</topic><topic>Adenocarcinoma - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Adenosquamous - diagnostic imaging</topic><topic>Carcinoma, Adenosquamous - pathology</topic><topic>Carcinoma, Adenosquamous - surgery</topic><topic>Carcinoma, Squamous Cell - diagnostic imaging</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Chemotherapy, Adjuvant</topic><topic>Decision Making</topic><topic>Digestive system. Abdomen</topic><topic>Double-Blind Method</topic><topic>Endosonography - methods</topic><topic>Esophageal Neoplasms - diagnostic imaging</topic><topic>Esophageal Neoplasms - pathology</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagogastric Junction</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasm Staging - methods</topic><topic>Observer Variation</topic><topic>Radiotherapy, Adjuvant</topic><topic>Ultrasonic investigative techniques</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Preston, S. R.</creatorcontrib><creatorcontrib>Clark, G. W. B.</creatorcontrib><creatorcontrib>Martin, I. G.</creatorcontrib><creatorcontrib>Sue Ling, H. M.</creatorcontrib><creatorcontrib>Harris, K. M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Preston, S. R.</au><au>Clark, G. W. B.</au><au>Martin, I. G.</au><au>Sue Ling, H. M.</au><au>Harris, K. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of endoscopic ultrasonography on the management of 100 consecutive patients with oesophageal and junctional carcinoma</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>2003-10</date><risdate>2003</risdate><volume>90</volume><issue>10</issue><spage>1220</spage><epage>1224</epage><pages>1220-1224</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Background
Endoscopic ultrasonography (EUS) offers very accurate tumour and node staging information for oesophagogastric cancer. The aim was to determine whether the addition of EUS directly influenced the definitive management plan for individual patients.
Methods
Personal and staging information from 100 consecutive patients with carcinoma of the oesophagus or oesophagogastric junction were summarized and blinded. Three consultant oesophagogastric surgeons independently made a management decision for each patient, in the presence and absence of the EUS data. All scored their perceived value of the EUS staging data for each patient.
Results
EUS was deemed useful in 63–87 per cent of patients and its addition resulted in an increased number of concordant management plans (from 53 to 62 per cent), and increased agreement between surgeons. The greatest change in concordant management was an increased referral of patients for non‐surgical palliation.
Conclusion
The addition of EUS to the staging of patients with oesophageal and oesophagogastric junction cancer significantly altered the management strategy for some of these patients. Copyright © 2003 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Helpful in selection of patients for surgery</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>14515290</pmid><doi>10.1002/bjs.4268</doi><tpages>5</tpages></addata></record> |
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| subjects | Adenocarcinoma - diagnostic imaging Adenocarcinoma - pathology Adenocarcinoma - surgery Adult Aged Aged, 80 and over Biological and medical sciences Carcinoma, Adenosquamous - diagnostic imaging Carcinoma, Adenosquamous - pathology Carcinoma, Adenosquamous - surgery Carcinoma, Squamous Cell - diagnostic imaging Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery Chemotherapy, Adjuvant Decision Making Digestive system. Abdomen Double-Blind Method Endosonography - methods Esophageal Neoplasms - diagnostic imaging Esophageal Neoplasms - pathology Esophageal Neoplasms - surgery Esophagogastric Junction Female Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Neoplasm Staging - methods Observer Variation Radiotherapy, Adjuvant Ultrasonic investigative techniques |
| title | Effect of endoscopic ultrasonography on the management of 100 consecutive patients with oesophageal and junctional carcinoma |
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