Zusammenfassung
Die Endoskopie spielt in der Diagnostik von Tumoren des oberen und unteren Gastrointestinaltraktes die zentrale Rolle. So erfolgt die Primärdiagnose und histologische Sicherung eines malignen Tumors in der Regel mittels Endoskopie und Biopsie. Der makroskopische Wachstumstyp kann häufig bereits Hinweise auf die T-Kategorie geben. Mittels Endosonographie kann beim Ösophagus-, Magen- und Rektumkarzinom heute sowohl die T-Kategorie als auch die lokale R0-Resektabilität mit hoher Sicherheit vorhergesagt werden.
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Weiterführende Literatur
Canto MJ (1999) Vital staining and Barrett’s Esophagus. Gastrointest Endosc 49: 12–16
Chak A, Canto M, Stevensen PD, Lightdale CJ, Van de Mierop F, Cooper G, Pollack BJ, Sivak MV (1997) Clinical applications of a new through-the-scope ultrasound probe: prospective. Comparison with an ultrasound endoscope. Gastrointest Endosc 45: 291–295
Dittler HJ, Bollschweiler E, Siewert JR (1991) Was leistet die Endosonographie im präoperativen Staging des Ösophaguskarzinoms? Dtsch med Wschr 116: 561–6
Dittler HJ, Pesarini AC, Siewert JR (1992) Endoscopic classification of esophageal cancer: correlation with the T stage. Gastrointest Endosc 38: 662–668
Dittler HJ, Siewert JR (1993) Role of endoscopic ultrasonography in esophageal carcinoma. Endoscopy 25:156–161
Dittler HJ, Siewert JR (1993) Role of endoscopic ultrasonography in gastric carcinoma. Endoscopy 25:162–166
Dittler HJ, Fink U, Siewert JR (1994) Response to Radio-Chemotherapie in Esophageal Cancer. Endoscopy 26: 769–771
Dittler HJ (1995) Assessment of resectability of gastrointestinal cancer by endoscopic ultrasonography. Gastrointest Endosc Clinics of North America 1995 part I: 569–575
Hizawa K, Suekane H, Aoyagi K, Matsumoto T, Nakamura S, Fujishima M (1996) Use of endosonographic evaluation of colorectal tumor depht in determining the appropriateness of endoscopic mucosal resection. Am J Gastroenterol 91: 768–771
Hunerbein M, Below C, Schlag PM (1996) Three-dimensional endorectal ultrasonography for staging of obstructing rectal cancer. Dis Colon Rectum 39: 636–642
Isenberg G, Chak A, Canto MI, Levitan N, Clayman J, Pollack PJ, Sivak MV Jr. (1998) Endosonographic ultrasound in restaging of esophageal cancer after neoadjuvant chemoradiation. Gastrointest Endosc 48: 158–963
Japanese Society for Esophageal Diseases, ed. (1992) Guidelines for the clinical and pathologic. Studies on carcinomatosa of the esophagus, 8th ed. Tokyo, Kanebara
Rösch T (1995) Endosonographic staging of esophageal cancer: a review of literature results. Gastrointest Endosc Clin N Am. 5: 537–547
Rösch T (1995) Endosonographie staging of Gastric cancer A review of the literature results. Gastrointest Endosc Clinic of North America I: 549–57
Saitoh Y, Obara T, Einami K, Nomura T, Taruishi M, Ayabe T, Ashida T, Shibata Y, Kohgo Y (1996) Efficacy of high-fraquency ultrasound probes for the preoperative staging of invasion dept. in flat and depressed colorectal tumors. Gastrointest Endosc 44: 34–39
Siewert JR, Stein HJ, Sendler A (1997) Chirurgische Relevanz bildgebender Diagnostik bei Tumoren des Gastrointestinaltrakts — Entscheidungswege beim Oesophagus-, Magen, Colon- und Rektumcarcinom. Chirurg 68: 317–324
Watanabe H, Miwa H, Terai T, Imai Y, Ogihara T, Sato N (1997) Endoscopic ultrasonography for colorectal cancer using submucosal saline solution. injection. Gastrointest Endosc 45: 508–511
Yoshikane H, Tsukamoto Y, Niwa Y, Goto H, Hase S, Shimoidara M, Maruta S, Yoshida M (1994) Superficial esophageal carcinoma: evaluation by endoscopic ultrasonography. Am J Gastroenterol 89(5): 702–707
Bessette JR, Maglinte DDT, Kelvin FM, Chernish SM (1989) Primary malignant tumours in the small bowel: A comparison of the small-bowel enema and conventional follow-through examination. Am J Roentgenol 153: 741–744
Gerhardt P (1998) Fortschritte der bildgebenden Diagnostik im Bereich des Pankreas (CT, MRT, MR-Angio, Hydro-CT, MRCP). Langenbecks Arch Chir Suppl II: 274–280
Helmberger H, Bautz W, Fink U, Vogel U, Sendler A, Lenz M, Gerhardt P (1995) Spiral-CTAP as a standard examination in patients with liver metastases? Results of 170 examinations. Eur Radiol 5 (Suppl) 53
Helmberger H, Kersting-Sommerhoff B, Lenz M, Kirsten R, Bautz W (1996) Möglichkeiten der Spiral-CT zur Diagnostik fokaler Leberläsionen. Röntgenpraxis 49: 49–54
Helmberger H, Bartzsch O, Baum U, Dittler HJ, Sendler A, Schulte B, Fink U, Gerhardt P (1997) Spiral CT for staging of gastric cancer. In: Siewert, JR und Roder, JD (Hrsg) Progress in gastric cancer research. Monduzzi Editore, Bologna: 83–86
Helmberger H, Brücher B, Bartzsch O, Dittler HJ, Baum U, Schulte B, Fink U, Gerhardt P (1997) Adenocarcinoma of the gastro-esophageal junction and the stomach: response evaluation to neoadjuvant chemotherapy using spiral CT and MRI. In: Siewert, JR und Roder, JD (Hrsg) Progress in gastric cancer research. Monduzzi Editore, Bologna: 1281–1286
Helmberger H, Müller-Schunk S, Rothmeier L, Merl T, Kersting-Sommerhoff B, Gerhardt P (1997) MRI of focal liver lesions using SPIO versus Spiral CTAP/Spiral CTA. Radiology 205 (P) 372
Helmberger H, Huppertz A, Riill T, Zillinger C, Ehrenberg C, Rösch T (1998) Rationale Diagnostik der Gallenwege. Radiologe 38: 270–278
Laniado M, Kopp AH (1997) Liver-specific contrast media: a magic bullet or a weapon for dedicated targets? Radiology 250: 319–322
Lehner K, Hof N (1998) Ösophaguskarzinom — Fortschritte im Staging mit Dünnschicht-Spiral-CT? Röntgenpraxis 51: 130–134
Oudkerk M, Van den Heuvel AG, Wilopolski RA, Schmitz PIM, Borel Rinkes IHM, Wiggers T (1997) Hepatic lesions: detection with ferumoxide — enhanced T1-weighted MR imaging. Radiology 203: 449–456
Siewert JR, Stein HJ, Sendler A (1997) Chirurgische Relevanz präoperativer Diagnostik bei Tumoren des Gastrointestinaltrakts — Entscheidungswege beim Ösophagus-, Magen-, Colon- und Rektumkarzinom. Chirurg 68: 317–324
Taupitz M, Hamm B (1996) Magnetresonanztomographie der Leber. In: Kahn T (Hrsg) Leber-Galle-Pankreas. Thieme, Stuttgart, New York: 48–77
Wernecke K, Rummeny E, Bongartz G, Vassallo P, Kivelitz D, Wiesmann W, Peters PE, Reers B, Reiser M, Pircher W (1991) Detection of hepatic masses in patients with carcinoma: comparative sensitivities of sonography, CT, and MR imaging. AJR 157: 731–739
Zerhouni EA, Rutter C, Hamilton SR (1996) CT and MR Imaging in the staging of colorectal carcinoma: Report of the Radiology Diagnostic Oncology Group II. Radiology 200: 443–451
Adams S, Baum R, Rink T, Schumm Drager PM, Usadel KH, Hor G (1998) Limited value of fluorine-18 fluorodeoxyglucose positron emission tomography for the imaging of neuroendocrine tumours. Eur J Nucl Med 25: 79–83
Beets G, Penninckx F, Schiepers C et al. (1994) Clinical value of whole-body positron emission tomography with [18F]fluorodeoxyglucose in recurrent colorectal cancer. Br J Surg 81: 1666–70
Fink U, Weber W, Matzen K, Becker K, Schwaiger M, Siewert J (1998) FDG-PET in response monitoring of neo-adjuvant chemotherapy for adenocarcinoma of the distal esophagus. J Cancer Res Clin Oncol 124: R26
Flanagan FL, Dehdashti F, Ogunbiyi OA, Kodner IJ, Siegel BA (1998) Utility of FDG-PET for investigating unexplained plasma CEA elevation in patients with colorectal cancer. Ann Surg 227: 319–23
Keiding S, Hansen SB, Rasmussen HH et al. (1998) Detection of cholangiocarcinoma in primary sclerosing cholangitis by positron emission tomography. Hepatology 28: 700–6
Rankin SC, Taylor H, Cook GJ, Mason R (1998) Computed tomography and positron emission tomography in the pre-operative staging of oesophageal carcinoma. Clin Radiol 53: 659–65
Sendler A, Avril N, Roder J, Schwaiger M und Siewert, J (1998) Kann die Dignität von Pankreastumoren durch die Positronen-Emissions-Tomographie (PET) sicher genug beurteilt werden? Langenbeck Arch Chir Suppl II: 1485–1487
Sendler A, Avril N, Stollfuß J, Weber W, Bengel F, Ziegler S, Roder JD (1999) Preoperative evaluation of pancreatic masses with positron emission tomography using F-18 Flurodeoxyglucose: Diagnostic limitations. World J Surg (in press)
Shreve PD (1998) Focal fluorine-18 fluorodeoxyglucose accumulation in inflammatory pancreatic disease. Eur J Nucl Med 25: 259–64
Torizuka T, Tamaki N, Inokuma T et al. (1995) In vivo assessment of glucose metabolism in hepatocellular carcinoma with FDG-PET. J Nucl Med 36: 1811–7
Valk PE, Pounds TR, Tesar RD, Hopkins DM, Haseman MK (1996) Cost-effectiveness of PET imaging in clinical oncology. Nucl-Med-Biol 23: 737–43
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Dittler, H.J. et al. (2000). Bildgebende Diagnostik. In: Roder, J.D., Stein, H.J., Fink, U. (eds) Therapie gastrointestinaler Tumoren. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59659-9_2
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DOI: https://doi.org/10.1007/978-3-642-59659-9_2
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