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Safety of esophagogastroduodenoscopy-guided forceps biopsy and the feasibility of esophagogastroduodenoscopy for evaluation of hypopharyngeal cancer

Authors
 Hyun Jun Hong  ;  Seok-Hoo Jeong  ;  Won Shik Kim  ;  Yu Jin Kim 
Citation
 BMC SURGERY, Vol.19(1) : 105, 2019-08 
Journal Title
BMC SURGERY
Issue Date
2019-08
MeSH
Aged ; Carcinoma, Squamous Cell / diagnostic imaging* ; Carcinoma, Squamous Cell / pathology ; Endoscopy, Digestive System / adverse effects ; Endoscopy, Digestive System / instrumentation ; Endoscopy, Digestive System / methods* ; Feasibility Studies ; Gastroscopes ; Humans ; Hypopharyngeal Neoplasms / diagnostic imaging* ; Hypopharyngeal Neoplasms / pathology ; Image-Guided Biopsy / adverse effects ; Image-Guided Biopsy / instrumentation ; Image-Guided Biopsy / methods ; Male ; Middle Aged ; Outcome Assessment, Health Care ; Patient Safety ; Retrospective Studies
Keywords
Esophagogastroduodenoscopy ; Forceps biopsy ; Hypopharyngeal cancer
Abstract
Background There is currently no established standard tissue sampling method for hypopharyngeal cancer. The present study aimed to evaluate the feasibility of esophagogastroduodenoscopy (EGD) for the pretreatment evaluation of hypopharyngeal cancer and the safety of EGD-guided forceps biopsy. Methods We reviewed nine patients with hypopharyngeal cancer who underwent EGD for the evaluation of tumor extent and tissue biopsy from March 2014 to March 2017 at International St. Mary's Hospital. One experienced endoscopist performed all the EGD procedures in the presence of a head and neck surgeon. The procedure included determining tumor location, extent (presence of pyriform sinus apex involvement), and size, and passing the endoscope through the upper esophageal sphincter. The success rate of tissue sampling was assessed, and procedure-related complications were recorded. Results All patients were male, with a mean age of 69.9 +/- 10.9 years (range 61-69 years). Tissue sampling using biopsy forceps was performed in 6/9 patients (66.7%). No complications related to moderate sedation or biopsy, including post-biopsy bleeding or respiratory distress, were reported. Histologic confirmation was successful in 5/6 patients (83.3%). Upper gastrointestinal lesions were evaluated in 7/9 (77.8%) patients in whom the scope passed through the lesion. Conclusions EGD and EGD-guided forceps biopsy may be useful for the evaluation of hypopharyngeal cancer extent and tissue sampling, respectively.
Files in This Item:
T9992019113.pdf Download
DOI
10.1186/s12893-019-0571-z
Appears in Collections:
1. College of Medicine (의과대학) > Others (기타) > 1. Journal Papers
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/189116
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