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Study highlights from November issue of GIE: Gastrointestinal Endoscopy
Date:11/23/2009

arrett's esophagus were more likely to be 61 to 70 years of age, but there was no difference in mean body mass index, ethnicity, or tobacco or alcohol use between patients with and without Barrett's esophagus.

Although Barrett's esophagus was most commonly observed in the 61- to 70-year age cohort in both groups, Barrett's esophagus was only detected in patients younger than the age of 50 in the prebariatric surgery patients. The most likely explanation for this finding would be the increased risk of Barrett's esophagus associated with obesity that has been previously reported. Researchers stated that further studies examining the natural history of asymptomatic Barrett's esophagus would be useful to determine the need for endoscopic screening and surveillance in this patient population.

"EUS-FNA predicts 5-year survival in pancreatic endocrine tumors"

Endoscopic ultrasound consists of a flexible endoscope which has a small ultrasound device built into the end. The ultrasound component produces sound waves that create visual images of the digestive tract which extend beyond the inner surface lining. EUS can be used to evaluate an abnormality below the surface such as a growth that was detected at a prior endoscopy or by X-ray. EUS can also be used to diagnose diseases of the pancreas, bile duct, and gallbladder when other tests are inconclusive, and can be used to determine the stage of cancers. Tissue samples, using a fine needle aspiration technique (FNA), can be obtained in real time with EUS guidance should an abnormality be seen.

Pancreatic endocrine tumors (PETs) are tumors from the abnormal growth of pancreatic cells that produce hormone-like chemicals and differ in clinical behavior and prognosis than the more common type of pancreatic cancer of the pancreas glands (adenocarcinoma). Determination of malignant (cancerous) potential through specimens obtained by EUS-FNA can help in the management of these patients. Re
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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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