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DOI: 10.1055/s-2007-1010276
Role of Endoscopic Ultrasonography in Gastric Carcinoma
Publication History
Publication Date:
17 March 2008 (online)
![](https://www.thieme-connect.de/media/endoscopy/199302/lookinside/thumbnails/10.1055-s-2007-1010276-1.jpg)
Abstract
Two hundred and fifty four consecutive patients with gastric adenocarcinoma who underwent surgery were preoperatively evaluated with endoscopic ultrasonography (EUS). The results were compared with the postoperative histo-pathological staging. EUS was correct in determining the T and N stage in 83 % and 66 %, respectively. Although EUS was accurate in determining the absence of lymph node metastases (accuracy in stage NO:93 %), it was not reliable in determining stages N1 and N2 (64 % and 52 %, respectively). Since 88 % of all T3 and T4 tumors had lymph node metastases, the concomitant T stage may be an important criterion for assessing the nature of endosonographically visualized lymph nodes. The actual R0-resection rate (78 %) was almost identical to the rate predicted preoperatively by EUS (81 %). We therefore consider EUS a valuable pretherapeutic procedure in patients with gastric carcinoma.