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Updated: May 31, 2026
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
Endosonographic tumor staging for treatment decision in resectable gastric cancer
Wolfram Bohle1, Alexander Scheidig, Wolfram G Zoller
1Department of Gastroenterology, Katharinenhospital, Klinicum Stuttgart, D-70174 Stuttgart, Germany. w.bohle@klinikum-stuttgart.de
Background And Aims:
Neoadjuvant preoperative chemotherapy is the standard of care in locally advanced resectable gastric cancer. Therefore, accurate locoregional staging is essential for treatment decision. EUS is believed to be the most performant diagnostic method for locoregional staging. However, it is questionable, if results from centers of excellence can be maintained in clinical routine.
Methods:
We retrospectively analyzed the data of 62 resectable gastric cancers staged by EUS during routine clinical work-up. Preoperative variables (tumor size and site, histological differentiation) were compared with the postoperative pathology.
Results:
19 locally limited (T1-2, N0), and 43 locally advanced (T3-4, or N+ irrespective of T stage) were analyzed. The sensitivity of EUS for the detection of locally advanced disease was 93%, with a specificity of 78%.
Conclusions:
Even in daily routine practice, differentiation of locally limited and advanced disease with EUS can be performed with high sensitivity and good specificity. Therefore, EUS is an essential part of the diagnostic procedure in patients with gastric cancer.