Does Staging Laparoscopy Affect Management of Upper GI cancers?

Staging of upper GI malignancy

Imaging plays a vital role in the management of oesophageal cancer including diagnosis, staging and follow up. Computerised tomography (CT) is used for staging and follow up, with magnetic resonance imaging (MRI) having only a limited role. Endoscopic ultrasound (EUS) provides optimal information for tumour extent and local nodal involvement. Functional imaging using 2-18 fluoro-deoxyglucose po...

Management and Prevention of Upper GI Bleeding

1. Apply an understanding of the pathophysiology and risk factors for upper gastrointestinal (GI) bleeding to patient care. 2. Evaluate the most recent guidelines for management and prevention of upper GI bleeding. 3. Devise a plan to effectively manage acute GI bleeding and optimize treatment responses in the individual patient. 4. Design plans for the prevention of upper GI bleeding caused by...

Staging laparoscopy for cholangiocarcinoma.

The precise role of laparoscopic assessment of biliary tract malignancy is yet to be defined. The evidence for its use has been reviewed to establish the role of laparoscopy for preoperative staging of cholangiocarcinoma. Published papers were reviewed for the evidence relevant to intrahepatic, proximal intrahepatic and distal biliary carcinoma. There is no randomized trial evaluating staging l...

Laparoscopy for Gynecologic Cancers

Staging laparoscopy for gastric cancer.

The growing role of multimodal treatment plans for advanced gastric cancer has contributed to the development of more accurate preoperative staging strategies. The high diagnostic efficacy of video-laparoscopy as regards the M factor has been reported by many; preoperative laparoscopy therefore permits to avoid unhelpful surgical exploration in case of peritoneal dissemination of tumor or liver...