Journal ArticleDOI
Risk Factors for Progression of Low-Grade Dysplasia in Patients With Barrett's Esophagus
Sachin Wani,Gary W. Falk,Jane Post,Lisa Yerian,Matthew Hall,Amy Wang,Neil Gupta,Srinivas Gaddam,Mandeep Singh,Vikas Singh,Keng-Yu Chuang,Vikram Boolchand,Hemanth Gavini,John Kuczynski,Priti Sud,Ajay Bansal,Amit Rastogi,Sharad C. Mathur,Patrick E. Young,Brooks D. Cash,John R. Goldblum,David A. Lieberman,Richard E. Sampliner,Prateek Sharma +23 more
TLDR
Overall, patients with BE and LGD have a low annual incidence of EAC, similar to nondysplastic BE, and there is significant interobserver variation in diagnosis, even among expert pathologists.About:
This article is published in Gastroenterology.The article was published on 2011-10-01. It has received 243 citations till now.read more
Citations
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Journal ArticleDOI
Barrett's oesophagus length is established at the time of initial endoscopy and does not change over time: results from a large multicentre cohort
Fouad J. Moawad,Patrick E. Young,Srinivas Gaddam,Prashanth Vennalaganti,Prashanthi N. Thota,John J. Vargo,Brooks D. Cash,Gary W. Falk,Richard E. Sampliner,David A. Lieberman,Prateek Sharma +10 more
TL;DR: It is suggested that a patient's Barrett's oesophagus segment length attains its full extent by the time of the initial endoscopic examination, and there was no significant difference in BO length by age category in decades.
Journal ArticleDOI
The use of molecular markers in predicting dysplasia and guiding treatment.
TL;DR: In this article, p53 immunohistochemistry was used as a useful adjunct to risk stratification and clarified histological grades, particularly low-grade dysplasia, to better diagnose and stratify patients.
Journal ArticleDOI
Esophagus and Gastrointestinal Junction Tumors.
Saba Kurtom,Brian J. Kaplan +1 more
TL;DR: Treatment of both types of cancer has transformed to a more minimally invasive approach, with endoscopic methods being used for superficial cancers and more frequent use of video-assisted and laparoscopic modalities for locally advanced tumors.
Journal ArticleDOI
Quality Indicators in Barrett's Esophagus: Time to Change the Status Quo.
Samuel Han,Sachin Wani +1 more
TL;DR: It is suggested that innovative interventions are needed to address the lack of adherence to quality indicators in surveillance and endoscopic eradication therapy practices in patients with Barrett’s esophagus.
Journal ArticleDOI
Current Endoscopic Approaches for the Treatment of Barrett Esophagus.
Bryan B. Brimhall,Sachin Wani +1 more
TL;DR: The critical role of training, competence, and quality indicators in EET are emphasized in this era of value-based health care practice as well as the several challenges with EET that need to be considered to optimize patient outcomes.
References
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Journal ArticleDOI
Updated guidelines 2008 for the diagnosis, surveillance and therapy of Barrett's esophagus.
TL;DR: The guidelines for the diagnosis, surveillance and therapy of Barrett’s esophagus were originally published by the American College of Gastroenterology in 1998 and updated in 2002 and once again reviewed using the National Library of Medicine database.
Journal ArticleDOI
The Vienna classification of gastrointestinal epithelial neoplasia
Ronald J. Schlemper,Robert H. Riddell,Yo Kato,F Borchard,Harry S. Cooper,Sanford M. Dawsey,Michael F. Dixon,C M Fenoglio-Preiser,Jean-François Fléjou,Karel Geboes,Takanori Hattori,T Hirota,Masayuki Itabashi,Mitsuya Iwafuchi,Akinori Iwashita,Y I Kim,Thomas Kirchner,M Klimpfinger,Morio Koike,Gregory Y. Lauwers,Klaus J. Lewin,Georg Oberhuber,Felix Offner,A B Price,Carlos A. Rubio,M Shimizu,Tadakazu Shimoda,Pentti Sipponen,Enrico Solcia,M Stolte,Hiroshi Watanabe,Hirohiko Yamabe +31 more
TL;DR: The differences between Western and Japanese pathologists in the diagnostic classification of gastrointestinal epithelial neoplastic lesions can be resolved largely by adopting the proposed terminology, which is based on cytological and architectural severity and invasion status.
Journal ArticleDOI
Dysplasia in inflammatory bowel disease: Standardized classification with provisional clinical applications
Robert H. Riddell,Harvey Goldman,David F. Ransohoff,Henry D. Appelman,Cecilia M. Fenoglio,Rodger C. Haggitt,Christer hren,Pelayo Correa,Stanley R. Hamilton,B C Morson,Sheldon C. Sommers,John H. Yardley +11 more
TL;DR: A classification system for the epithelial changes that occur in ulcerative colitis was developed, which should be applicable to other forms of inflammatory bowel disease as well and makes use of standardized terminology, addresses specific problem areas, and offers practical solutions.
Journal ArticleDOI
Radiofrequency Ablation in Barrett's Esophagus with Dysplasia
Nicholas J. Shaheen,Prateek Sharma,Bergein F. Overholt,Herbert C. Wolfsen,Richard E. Sampliner,Kenneth K. Wang,Joseph A. Galanko,Mary P. Bronner,John R. Goldblum,Ana E. Bennett,Blair A. Jobe,Glenn M. Eisen,M. Brian Fennerty,John G. Hunter,David E. Fleischer,Virender K. Sharma,Robert H. Hawes,Brenda J. Hoffman,Richard I. Rothstein,Stuart R. Gordon,Hiroshi Mashimo,Kenneth J. Chang,V. Raman Muthusamy,Steven A. Edmundowicz,Stuart J. Spechler,Ali A. Siddiqui,Rhonda F. Souza,Anthony Infantolino,Gary W. Falk,Michael B. Kimmey,Ryan D. Madanick,Amitabh Chak,Charles J. Lightdale +32 more
TL;DR: In patients with dysplastic Barrett's esophagus, radiofrequency ablation was associated with a high rate of complete eradication of both dysplasia and intestinal metaplasia, and a reduced risk of disease progression.
Journal ArticleDOI
The Role of Overdiagnosis and Reclassification in the Marked Increase of Esophageal Adenocarcinoma Incidence
Heiko Pohl,H. Gilbert Welch +1 more
TL;DR: The rising incidence of esophageal adenocarcinoma represents a real increase in disease burden and overdiagnosis can be excluded as an explanation for the rise in incidence.
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Radiofrequency Ablation in Barrett's Esophagus with Dysplasia
Nicholas J. Shaheen,Prateek Sharma,Bergein F. Overholt,Herbert C. Wolfsen,Richard E. Sampliner,Kenneth K. Wang,Joseph A. Galanko,Mary P. Bronner,John R. Goldblum,Ana E. Bennett,Blair A. Jobe,Glenn M. Eisen,M. Brian Fennerty,John G. Hunter,David E. Fleischer,Virender K. Sharma,Robert H. Hawes,Brenda J. Hoffman,Richard I. Rothstein,Stuart R. Gordon,Hiroshi Mashimo,Kenneth J. Chang,V. Raman Muthusamy,Steven A. Edmundowicz,Stuart J. Spechler,Ali A. Siddiqui,Rhonda F. Souza,Anthony Infantolino,Gary W. Falk,Michael B. Kimmey,Ryan D. Madanick,Amitabh Chak,Charles J. Lightdale +32 more