| Autor: |
LEVKIN, V. V., KHARNAS, S. S., MIRIJANYAN, M. M., SHESTAKOV, A. M., LESKO, K. A., KULKOVA, R. A. |
| Předmět: |
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| Zdroj: |
New Armenian Medical Journal; Sep2018, Vol. 12 Issue 3, p50-58, 9p |
| Abstrakt: |
Gastric cancer is one of the leading causes of oncologic morbidity and mortality both in Russia and worldwide. The primary method for early diagnosis of gastric cancer and upper gastrointestinal tract is endoscopy. Present article discusses the evolution of this method. The authors demonstrate the picture of the method development from first devices introduced in the early 19th century to the period of the endoscopic technology flourishing in the late 20th century resulting in the increasing rate of early gastric cancer detection. They pay a special attention to the innovative endoscopic technologies analyzing the advantages and drawbacks. The article covers both traditional tests including ultrasound test and narrowband imaging and new methods bringing endoscopy to the new level of visualization. The latter involve confocal laser endomicroscopy and endocytoscopy. The development of medicine in general, and oncology in particular, over the past decades tends to fetishize laboratory and instrumental techniques over the knowledge of the clinical symptoms of various diseases. In the diagnosis of stomach diseases, the clinical manifestation as well as knowledge of risk groups is of crucial importance for the selection of patients for special tests, and primarily for endoscopy. This approach enables the identification of patients at an early stage of the disease and will not only improve long-term treatment results, reduce mortality from gastric cancer, but it will improve the quality of operated patients' life through the active introduction of intraluminal manipulations (endoscopic resection of the mucosa with dissection in the submucosal layer and others) in gastric cancer which are much less invasive compared to standard subtotal stomach resection or gastrectomy with enlarged lymphadenectomy (D2), still widely performed in all cases of resectable cancer irrespective of its stage (I, II or III). Summing up the upper gastrointestinal tract endoscopic diagnosis development, the authors emphasize the importance of the introduction of modern endoscopic diagnosis and treatment as well as an individualized clinical approach to the patient examination and the adequate treatment selection. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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