Adenocarcinoma that infiltrates the Cardias and the Fundus.
This lady of 87 year-old, presented with dysphagia to solids and liquids, anorexia and anemia.
For more endoscopic details download the video clips by clicking on the endoscopic images, wait to be downloaded complete then press Alt and Enter that you can appreciate the video in full screen.
All endoscopic images shown in this Atlas contain video clips.
Video Endoscopic Sequence 2 of 2.
Endoscopic image of adenocarcinoma of the gastric fundus
These image shows a ulcerated malignant tumor in the gastric fundus, (adenocarcinoma) retroflexed image.
Video Endoscopic Sequence 1 of 4.
Barrett Adenocarcinoma
This 85 year-old male, presented with dysphagia to solids and liquids, having a medical record to have been sufering long standing GERD.
Video Endoscopic Sequence 2 of 4.
Endoscopy of Barrett Adenocarcinoma
Video Endoscopic Sequence 3 of 4.
The gastric cardias is infitrated by the neoplasia, retroflexed image.
Video Endoscopic Sequence 4 of 4.
Long Segment of Barrettīs Esophagus magnification endoscopy.
Video Endoscopic Sequence 1 of 20.
Endoscopic image of Barrett Adenocarcinoma
This 61 year-old male who four years previously, had made the diagnosis of Barrett's esophagus and has history of longstanding gastroesophageal reflux disease, to the point that the patient sleep almost sit, neither had received treatment with inhibitors of the proton pump inhibitors, or any endoscopic follow up.
At the time of this endoscopy, had 15 days suffering of dysphagia.
Video Endoscopic Sequence 2 of 20.
In the image and the video clip shows a tongue of Barrett's esophagus of a long segment and the extensive malignant infiltration and a hiatus hernia.
Over time the relative distribution of cancers of the proximal digestive tract has changed. Squamous cell carcinomas of the esophagus have become less common, while numbers of adenocarcinomas have greatly increased. This shift most likely reflects an increase in the incidence of gastroesophageal reflux. Moreover, there is a decline in the incidence of distal gastric cancer, which in turn may be related to Heliobacter pylori eradication.
Video Endoscopic Sequence 3 of 20.
In this video clip you can see, the extensive malignant infiltration, retroflexed image.
Simultaneously, there is a time trend toward a more proximal localization of gastric cancer. If the above-mentioned etiopathologic links are correct, this could indicate that the so-called cardia adenocarcinomas are not related to H pylori infection and that they may instead be related to gastroesophageal reflux and eventually may not be considered to be "gastric" cancers.
Video Endoscopic Sequence 4 of 20.
In this video clip you can see, a tongue of the Barrettīs esophagus, which has been enhanced with acetic acid, and also shows the endoscopic biopsies.
The rapidly growing quantity of literature on this subject is, however, confounding. A major source of discordance would seem to be a Babylonian confusion of tongues concerning the terms cardia and cardiac carcinomas. Unfortunately, this confusion is also apparent in the classification systems available for staging of cancer, thus closing the "vicious" circle.
