Systematic review of endoscopic ultrasound in gastro-oesophageal cancer

Harris KM, Kelly S, Berry E, Hutton J, Roderick P, Cullingworth J, Gathercole L, O'Connor PJ, Boyce JC, Smith MA
Record ID 31999008409
English
Authors' objectives:

The aim was to review the literature relating tho the use of endoscopic ultrasound for the preoperative staging of gastro-oesophageal cancer, especially regarding staging performance and staging impact. In addition, evidence was sought on the health economics, therapeutic impact and effect on patient outcome of endoscopic ultrasound in any clinical application.

Authors' recommendations: Endoscopic ultrasound (EUS) is highly effective for the discrimination of Stages T1 and T2 from T3 and T4, in both the oesophagus and the stomach. Initial indications are that the performance for T staging at the cardia is less good. Non-traversable stenosis does reduce the staging performance of EUS, but evidence on whether this reduction justifies the risk of dilatation was not available. The studies available on the use of miniprobes report a high performance for discrimination between mucosal and submucosal cancer. No evidence regarding the subsequent impact of these findings is available. Lymph node staging with EUS has a lower performance than that of tumour staging. Staging for metastases using EUS alone is not satisfactory.
Authors' methods: Systematic review
Details
Project Status: Completed
URL for project: http://www.hta.ac.uk/985
Year Published: 1998
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Endosonography
  • Ultrasonography
  • Digestive System
  • Esophageal Neoplasms
Contact
Organisation Name: NIHR Health Technology Assessment programme
Contact Address: NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name: journals.library@nihr.ac.uk
Contact Email: journals.library@nihr.ac.uk
Copyright: 1998 Queen's Printer and Controller of HMSO
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.