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Evolving screening and surveillance techniques for Barrett's esophagus
David Steele1, Kondal Kyanam Kabir Baig1, Shajan Peter2
1Basil Hirschowitz Endoscopic Centre of Endoscopic Excellence, Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL 35294, United Sates.
World Journal of Gastroenterology
|May 23, 2019
Summary
Barrett's esophagus (BE) is a precancerous condition linked to esophageal adenocarcinoma (EAC). Early diagnosis and surveillance are crucial due to rising EAC incidence and high mortality rates.
Area of Science:
- Gastroenterology
- Oncology
- Medical Technology
Background:
- Barrett's esophagus (BE) is a precursor to esophageal adenocarcinoma (EAC).
- EAC incidence is rising despite decreasing squamous cell carcinoma rates.
- Delayed EAC diagnosis leads to >80% 5-year mortality.
Purpose of the Study:
- Review current guidelines for BE diagnosis and surveillance.
- Evaluate novel optical and advanced technologies for BE screening.
- Discuss cost-effectiveness of emerging screening and surveillance techniques.
Main Methods:
- Literature review of current BE guidelines.
- Analysis of emerging optical technologies for esophageal imaging.
- Evaluation of advanced diagnostic approaches for BE and EAC.
Main Results:
- BE surveillance is vital for early EAC detection.
- Novel technologies show promise for improved cost-effective screening.
- Evolving techniques are under evaluation for clinical integration.
Conclusions:
- Timely diagnosis and vigilant surveillance of BE are critical.
- Advanced optical and other technologies may enhance BE screening efficiency.
- Continued evaluation of new methods is necessary to combat rising EAC rates.