对巴雷特食道和食道腺癌的查取得了进展
Kornpong Vantanasiri1, Amrit K Kamboj1, John B Kisiel1
1Barrett's Esophagus Unit, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Mayo Clinic proceedings
|January 26, 2024
概括
新的非内镜工具可以检测巴雷特食道 (BE) 和食道腺癌 (EAC). 这些创新为食道癌症预防提供了传统内镜的更少侵入性和更容易获得的查替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 生物标志物发现发现
背景情况:
- 食道腺癌 (EAC) 是一种致命的癌症,在美国的发病率正在上升.
- 巴雷特食道 (BE) 是EAC的主要前体.
- 目前通过镇静内镜进行查是侵入性的和昂贵的,限制了其使用.
研究的目的:
- 审查最近在非内镜检测BE和EAC的创新.
- 讨论BE和EAC风险评估中的挑战和进展.
- 提出一个新的战略,以减少EAC发病率和死亡率.
主要方法:
- 对新兴非内镜诊断技术的审查.
- 用蛋白质和表观遗传生物标记物分析可吞细胞采样设备.
- 评估绑定囊内微镜,血型分子生物标志物和呼吸中的挥发性有机化合物.
- 对风险分层工具的评估.
主要成果:
- 准则认可非内镜生物标志物作为镇静内镜的替代品.
- 开发可吞设备用于细胞采样.
- 新兴的外周血液和基于呼吸的生物标志物显示出有前途.
- 风险评估方面的进展补充了非内镜检测.
结论:
- 创新的非内镜工具为BE和EAC检测提供了有前途的替代方案.
- 这些方法可以提高可访问性,降低医疗保健成本.
- 综合风险评估和非内镜查的新范式可能会降低EAC死亡率.
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