Dilation of the Stricture Caused by Adenocarcinoma, Part 1

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13 years ago
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specialty:
Gastroenterology

Case description

Iinitiated Recanalization of the lumen In this video clip shows dilation of the stricture cause by the tumor at the gastroesophageal junction with a hydrostatic balloon. Is Adenocarcinoma of the Esophagogastric Junction or Cardias Different From Barrett Adenocarcinoma?. Over time the relative distribution of cancers of the proximal digestive tract has changed. Squamous cell carcinomas of the esophagus have become less common, while numbers of adenocarcinomas have greatly increased. This shift most likely reflects an increase in the incidence of gastroesophageal reflux. Moreover, there is a decline in the incidence of distal gastric cancer, which in turn may be related to Heliobacter pylori eradication. Simultaneously, there is a time trend toward a more proximal localization of gastric cancer. If the above-mentioned etiopathologic links are correct, this could indicate that the so-called cardia adenocarcinomas are not related to H pylori infection and that they may instead be related to gastroesophageal reflux and eventually may not be considered to be "gastric" cancers.

tags: endoscopy recanalization esophagus helicobacter pylori

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