Table 2.
Symptoms and findings at upper endoscopy in 49 patients with missed esophageal cancer
| Prior endoscopy | Endoscopy at diagnosis | p-value | |
|---|---|---|---|
| Alarm symptoms, n (%) | |||
| Any alarm symptom | 24 (49.0) | 40 (81.6) | < 0.001 |
| Dysphagia | 4 (8.2) | 25 (51.0) | < 0.001 |
| GI-bleeding | 11 (22.4) | 5 (10.2) | 0.049 |
| Heartburn | 6 (12.2) | 6 (14.3) | 1.000 |
| Weight loss UI* | 5 (10.2) | 23 (46.9) | < 0.001 |
| Findings, n (%) | |||
| Normal | 12 (24.5) | ||
| Tumor | 41 (83.7) | ||
| Esophagitis | 10 (20.4) | 4 (8.2) | |
| Ulceration | 4 (8.2) | 4 (8.2) | |
| Barrett´s esophagus | 25 (51.0) | ||
| Hiatus hernia | 26 (53.1) | ||
| Low-grade dysplasia | 8 (8.2) | ||
| High-grade dysplasia | 2 (4.1) | ||
| Sedation, n (%) | 1.000 | ||
| No sedation | 37 (75.5) | 39 (76.5) | |
| Conscious sedation | 10 (20.4) | 9 (17.6) | |
| Deep sedation | 2 (4.1) | 1 (2.0) | |
| Endoscopist, n (%) | 1.000 | ||
| Junior | 19 (38.8) | 20 (40.8) | |
| Senior | 30 (61.2) | 29 (59.2) |
*Weight loss UI = Unintentional weight loss