Our standard practice is to rapidly advance the instrument carefully through the esophagus and into the gastric cardia
for a retroflexed view of the cardia and the gastroesophageal junction (figure 3, B).
The strong, dose-dependent inverse relationship found between dietary intake of cereal fiber and the risk for gastric cardia
adenocarcinoma was not seen for fiber from fruits, vegetables, and legumes (Gastroenterology 120:387-91, 2001).
cancer was included because adenocarcinomas are on the increase in esophagus and cardia in some Western countries (Botterweck et al.
Oesophageal and gastric cardia
adenocarcinomas: analysis of regional variation using the Cancer Incidence in Five Continents database.
The greatest risk of Barrett's esophagus is the development of adenocarcinoma of the distal esophagus and gastric cardia
Stretta involves delivery of RF to the LES and gastric cardia
, offering a durable therapeutic option that does not preclude further steps with more invasive procedures if indicated.
With the use of an endoscope, three plications are placed in the gastric cardia
to form a pleat.
Specific topics to be discussed include the diagnostic criteria for Barrett esophagus and intestinal metaplasia, the importance of the gastric cardia
, and potential pitfalls in the diagnosis of dysplasia among patients with Barrett esophagus.
Schwartz noted that in his study, three plications were used to create pleats in the gastric cardia
, as has become common clinical practice.
Stretta uses low temperature radiofrequency energy to remodel tissue in the lower esophageal sphincter and gastric cardia
pylori infections in the esophagus and in the gastric cardia
was significantly lower than in the stomach as a whole, the investigators reported in a poster session.
Stretta involves delivery of radiofrequency energy to the LES and gastric cardia
, which has been shown in numerous clinical studies to be a safe, effective, and durable therapeutic option.