Editor’s Choice: Screening for esophageal squamous cell carcinoma

Associate Editor, Dr. Fauze Maluf-Filho, highlights this article from the September issue “Screening for esophageal squamous cell carcinoma: recent advances” by Don C. Codipilly, MD, et al. Fauze_headshot

This study provides a thorough review of the current technologies (endoscopic and non-endoscopic) to screen for esophageal squamous cell carcinoma (ESCC). It also points out future directions for the detection of early ESCC.

This article increases our awareness that the detection of ESCC at early stages may be in our hands, while we are performing an endoscopic examination in a patient at risk for that neoplasia. By pushing a button and activating the electronic chromoendoscopy followed by the use of Lugol’s solution, it is possible to detect a superficial ESCC and give a 90% chance of a cure for a disease that has a less than 5% survival rate at 5 years when detected at advanced stages.

ESCC is a prevalent disease worldwide. Chromoendoscopy with Lugol’s solution is the standard method for screening ESCC in high-risk individuals, and it should be incorporated in our daily practice. The detection of molecular biomarkers in samples obtained by swallowed brushing sponges or in blood samples are some of the future directions for the non-endoscopic methods of ESCC screening.

Codipilly_fig

Read the article abstract here.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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