Valero M, Robles-Medranda C. Endoscopic ultrasound in oncology: An update of clinical applications in the gastrointestinal tract. World J Gastrointest Endosc 2017; 9(6): 243-254 [PMID: 28690767 DOI: 10.4253/wjge.v9.i6.243]
Corresponding Author of This Article
Carlos Robles-Medranda, MD, Head of the Endoscopy Division, Gastroenterology and Endoscopy Division, Instituto Ecuatoriano de Enfermedades Digestivas, University Hospital OMNI, Av. Abel Romeo Castillo y Av. Juan Tanca Marengo, Torre Vitalis, Mezanine 3, Guayaquil 090505, Ecuador. carlosoakm@ieced.com.ec
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Jun 16, 2017; 9(6): 243-254 Published online Jun 16, 2017. doi: 10.4253/wjge.v9.i6.243
Endoscopic ultrasound in oncology: An update of clinical applications in the gastrointestinal tract
Manuel Valero, Carlos Robles-Medranda
Manuel Valero, Carlos Robles-Medranda, Gastroenterology and Endoscopy Division, Instituto Ecuatoriano de Enfermedades Digestivas, University Hospital OMNI, Guayaquil 090505, Ecuador
Author contributions: Both authors contributed to this paper.
Conflict-of-interest statement: The authors have no conflict of interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Carlos Robles-Medranda, MD, Head of the Endoscopy Division, Gastroenterology and Endoscopy Division, Instituto Ecuatoriano de Enfermedades Digestivas, University Hospital OMNI, Av. Abel Romeo Castillo y Av. Juan Tanca Marengo, Torre Vitalis, Mezanine 3, Guayaquil 090505, Ecuador. carlosoakm@ieced.com.ec
Telephone: +593-4-2109180 Fax: +593-4-2109180
Received: January 28, 2017 Peer-review started: February 12, 2017 First decision: March 28, 2017 Revised: April 10, 2017 Accepted: May 3, 2017 Article in press: May 5, 2017 Published online: June 16, 2017 Processing time: 139 Days and 2.3 Hours
Abstract
An accurate staging is necessary to select the best treatment and evaluate prognosis in oncology. Staging usually begins with noninvasive imaging such as computed tomography, magnetic resonance imaging or positron emission tomography. In the absence of distant metastases, endoscopic ultrasound plays an important role in the diagnosis and staging of gastrointestinal tumors, being the most accurate modality for local-regional staging. Its use for tumor and nodal involvement in pre-surgical evaluation has proven to reduce unnecessary surgeries. The aim of this article is to review the current role of endoscopic ultrasound in the diagnosis and staging of esophageal, gastric and colorectal cancer.
Core tip: Endoscopic ultrasound (EUS) has an important role in staging, establishing prognosis and optimizing therapeutic decisions. Also, it has proved to be a useful alternative therapeutic modality in surgery. In terms of cost-benefit, it reduces the number of unnecessary diagnostic or therapeutic procedures, leading to lower morbidity and mortality rates and reduced cost in cancer treatment. This review summarizes the current role of EUS in the diagnosis and staging of esophageal, gastric and colorectal cancer.
