Latest Advances in Endoscopic Detection of Oesophageal and Gastric Neoplasia

Abstract

Endoscopy is the gold standard for the diagnosis of cancers and cancer precursors in the oesophagus and stomach. Early detection of upper GI cancers requires high-quality endoscopy and awareness of the subtle features these lesions carry. Endoscopists performing surveillance of high-risk patients including those with Barrett’s oesophagus, previous squamous neoplasia or chronic atrophic gastritis should be familiar with endoscopic features, classification systems and sampling techniques to maximise the detection of early cancer. In this article, we review the current approach to diagnosis of these conditions and the latest advanced imaging and diagnostic techniques.

Keywords

• Barrett’s oesophagus
• squamous dysplasia
• chronic atrophic gastritis
• intestinal metaplasia
• surveillance