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Organ and function preservation in gastrointestinal cancer: Current and future perspectives on endoscopic ablation.
Soliman, Youssef Yousry; Soliman, Megan; Reddy, Shravani; Lin, James; Kachaamy, Toufic.
Afiliação
  • Soliman YY; Department of Gastroenterology, City of Hope Phoenix, Goodyear, AZ 85338, United States. soliman.joe@gmail.com.
  • Soliman M; Department of Medicine, Medical Consulting, Goodyear, AZ 85395, United States.
  • Reddy S; Department of Gastroenterology, University of California Irvine, Irvine, CA 92697, United States.
  • Lin J; Department of Gastroenterology, City of Hope National Medical Center, Duarte, CA 91010, United States.
  • Kachaamy T; Department of Gastroenterology, City of Hope Phoenix, Goodyear, AZ 85338, United States.
World J Gastrointest Endosc ; 16(6): 282-291, 2024 Jun 16.
Article em En | MEDLINE | ID: mdl-38946859
ABSTRACT
The escalating prevalence of gastrointestinal cancers underscores the urgency for transformative approaches. Current treatment costs amount to billions of dollars annually, combined with the risks and comorbidities associated with invasive surgery. This highlights the importance of less invasive alternatives with organ preservation being a central aspect of the treatment paradigm. The current standard of care typically involves neoadjuvant systemic therapy followed by surgical resection. There is a growing interest in organ preservation approaches by way of minimizing extensive surgical resections. Endoscopic ablation has proven to be useful in precursor lesions, as well as in palliative cases of unresectable disease. More recently, there has been an increase in reports on the utility of adjunct endoscopic ablative techniques for downstaging disease as well as contributing to non-surgical complete clinical response. This expansive field within endoscopic oncology holds great potential for advancing patient care. By addressing challenges, fostering collaboration, and embracing technological advancements, the gastrointestinal cancer treatment paradigm can shift towards a more sustainable and patient-centric future emphasizing organ and function preservation. This editorial examines the evolving landscape of endoscopic ablation strategies, emphasizing their potential to improve patient outcomes. We briefly review current applications of endoscopic ablation in the esophagus, stomach, duodenum, pancreas, bile ducts, and colon.
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Texto completo: 1 Bases de dados: MEDLINE Idioma: En Revista: World J Gastrointest Endosc Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Bases de dados: MEDLINE Idioma: En Revista: World J Gastrointest Endosc Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos