The Role of Endoscopic Ultrasound in the Management of Patients with Barrett's Esophagus and Superficial Neoplasia

Bashar J Qumseya; Herbert C Wolfsen

doi:10.1016/j.giec.2017.03.001

The Role of Endoscopic Ultrasound in the Management of Patients with Barrett's Esophagus and Superficial Neoplasia

Gastrointest Endosc Clin N Am. 2017 Jul;27(3):471-480. doi: 10.1016/j.giec.2017.03.001.

Authors

Bashar J Qumseya¹, Herbert C Wolfsen²

Affiliations

¹ Division of Gastroenterology and Hepatology, Archbold Medical Group, Florida State University, 112 Mimosa Drive, Thomasville, GA 31792, USA.
² Division of Gastroenterology and Hepatology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA. Electronic address: herbert.wolfsen@mayo.edu.

PMID: 28577768
DOI: 10.1016/j.giec.2017.03.001

Abstract

Endoscopic ultrasound (EUS) is a minimally invasive advanced imaging procedure using high-frequency sound waves to produce detailed images of the esophageal wall with fine-needle aspiration to biopsy adjacent lymph nodes. The role of EUS is well established in patients with locally advanced Barrett esophagus neoplasia. The utility of EUS in the evaluation of Barrett esophagus patients is controversial. This is a review of the evidence using EUS in BE patients. The assessment is that EUS may be a powerful tool in managing patients with BE neoplasia.

Keywords: Advanced imaging; Endoscopy; Endosonography; Esophageal cancer.

Publication types

Review

MeSH terms

Adenocarcinoma / diet therapy*
Adenocarcinoma / pathology
Barrett Esophagus / diagnostic imaging*
Barrett Esophagus / pathology
Biopsy, Fine-Needle / methods
Endosonography / methods*
Esophageal Neoplasms / diagnostic imaging*
Esophageal Neoplasms / pathology
Humans