Publications by authors named "R W Lansing"
Background: Limited data are available on the epidemiology of gastroesophageal junction adenocarcinoma (GEJAC), particularly in comparison to esophageal adenocarcinoma (EAC). With the advent of molecular non-endoscopic Barrett's esophagus (BE) detection tests which sample the esophagus and gastroesophageal junction, early detection of EAC and GEJAC has become a possibility and their epidemiology has gained importance.
Aims: We sought to evaluate time trends in the epidemiology and survival of patients with EAC and GEJAC in a population-based cohort.
Article Synopsis
- Endoscopic eradication therapy (EET) is the standard treatment for T1a esophageal adenocarcinoma, but there's limited data on its effectiveness for high-risk cases.
- A study compared outcomes of low-risk and high-risk T1a EAC patients, finding that high-risk patients had a significantly higher rate of delayed extraesophageal metastases, but no difference in intraluminal EAC recurrence or overall survival.
- The findings highlight the need for careful discussions about treatment options for high-risk T1a EAC patients and the importance of further research in this area.
Background & Aims: Guidelines suggest a single screening esophagogastroduodenoscopy (EGD) in patients with multiple risk factors for Barrett's esophagus (BE). We aimed to determine BE prevalence and predictors on repeat EGD after a negative initial EGD, using 2 large national databases (GI Quality Improvement Consortium [GIQuIC] and TriNetX).
Methods: Patients who underwent at least 2 EGDs were included and those with BE or esophageal adenocarcinoma detected at initial EGD were excluded.
Nurses routinely assess pain in hospitalized patients; similar assessment of dyspnea is increasing. Most nurses start with a yes-no question when assessing pain or dyspnea; many record "no" as a zero rating, skipping the rating scale. We tested the hypothesis that recording "no" answers as "zero" fails to detect the symptoms that would have been detected with a rating scale.
View Article and Find Full Text PDF