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Surgical Endoscopy
Published in: Surgical Endoscopy 9/2009

01-09-2009

Endoscopically defined gastroesophageal junction coincides with the anatomical gastroesophageal junction

Author: Bengt Wallner

Published in: Surgical Endoscopy | Issue 9/2009

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Abstract

Introduction

The gastroesophageal junction is a complex anatomic area. Precise endoscopic assessment of the gastroesophageal junction is of utter importance, especially regarding Barrett’s esophagus and neoplasms of the gastroesophageal junction. There has been a lack of a validated definition of the endoscopic gastroesophageal junction.

Methods

Seven patients scheduled for resection of the gastroesophageal junction were included. Before surgery, gastroscopy was performed and the gastroesophageal junction was assessed. If there was disparity between the endoscopic gastroesophageal junction and the Z-line, the gastroesophageal junction was marked with India ink tattooing. Postoperatively the resection specimens were evaluated and the anatomical gastroesophageal junction was compared with the endoscopic.

Results

In all seven patients the measured difference between the gastroesophageal junction and the endoscopic junction was <5 mm.

Conclusions

The upper margin of the longitudinal folds of the stomach can be used as an appropriate endoscopic definition of the gastroesophageal junction.
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Metadata
Title
Endoscopically defined gastroesophageal junction coincides with the anatomical gastroesophageal junction
Author
Bengt Wallner
Publication date
01-09-2009
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 9/2009
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-008-0238-9

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