A non-invasive combined strategy to improve the appropriateness of upper gastrointestinal endoscopy.

Background and aim Increasing the appropriateness of upper gastrointestinal endoscopy (UGIE) improves the quality of care while containing costs. The aim of this study was to improve the appropriateness of UGIE through a process involving evaluation of prescriptions and the use of a non-invasive alternative. Materials and methods A senior endoscopist evaluated the appropriateness of all outpatient referrals for UGIE and established the proper timing.

Barrett's esophagus: results from an Italian cohort with tight endoscopic surveillance.

Background And Aim: Barrett's Esophagus represents a condition that predisposes to the development of esophageal adenocarcinoma. The aim of the present study was to analyze the demographic and clinical characteristics of patients with BE, to establish the presence of risk factors for this condition, and to determine the frequency of dysplastic lesions as well as the evolution towards adenocarcinoma under tight endoscopic control.

Methods: In this study, we retrospectively collected and analyzed data from a cohort of patients with Barrett's Esophagus identified through endoscopic records of ULSS7 in Northern Italy, who underwent upper esophagogastroduodenoscopy over a 10-year period from July 2008 to December 2020.

Accurate histological terminology for small intestine carcinoid tumors.

The recent WHO Classification of Tumours of the Digestive System reflects the views of a Working Group that convened for an Editorial and Consensus Conference at the International Agency for Research on Cancer (IARC), Lyon, 10 December 2009 [1]. In this classification, the “neuroendocrine neoplasms of the small intestine” include neuroendocrine tumor (NET), neuroendocrine carcinoma (NEC), mixed adenoneuroendocrine carcinoma, EC cell, serotonin-producing NET, gangliocytic paraganglioma, gastrinoma, L cell, glucagon-like peptide-producing, PP/PYY-producing NETs, and somostatin-producing NET. “Carcinoid tumor” is the generic term traditionally applied to low-grade malignant neoplasms originating from the diffuse endocrine system exclusive of the pancreas and the thyroid C-cell, a term being progressively replaced by “well-differentiated (neuro)endocrine tumors/carcinomas”.