Commentary
Definition of Real Esophago-Gastric Junction
Takahiro Sato1,2* and Yo Kato3,4
1Gastroenterological Surgery, Comprehensive Cancer Center, Saitama Medical Universiy International Medical Center 1397-1 Yamane, Hidaka, 350-1298, Japan
2Gastroenterological Surgery, Harada Hospital, 1-13-3 Toyooka, Iruma, 358-0003, Japan
3Department of Pathology, Nikko Medical Center, Dokkyo Medical University, 632 Takatoku, Nikko, Tochigi, 321-2593, Japan
4Department of Pathology, Cancer Institute, Japanese Foundation for Cancer Research, 3-10-6, Ariake, Koto-ku, Tokyo 135-8550, Japan
- *Corresponding Author:
- Takahiro Sato
Gastroenterological Surgery, Harada Hospital
1-13-3 Toyooka, Iruma, 358-0003, Japan
Tel: +81-4-2962-1251
Fax: +81-4-2962-0865
E-mail: takahiro-aogp@biglobe.jp
Received date: July 08, 2013; Accepted date: August 08, 2013; Published date: August 11, 2013
Citation: Sato T, Kato Y (2013) Definition of Real Esophago-Gastric Junction. J Gastroint Dig Syst 3:130. doi:10.4172/2161-069X.1000130
Copyright: © 2013 Sato T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
An increase in the incidence of esophageal adenocarcinoma and gastric cardia cancer has been reported in Western countries. However, the lack of universally accepted criteria for the esophago-gastric junction (EGJ) continues to result clinically in confusion in diagnosis of gastric cardia cancer, esophageal adenocarcinoma and Barrett’s esophagus (BE), not only in Japan but also in Western countries. The definition of real EGJ would minimize bias and error and lead to etiologic hypothesis.