The staging of esophageal carcinoma remains imprecise. Various staging modalities, including biplanar esophagogram,1 azygous venography and gallium scanning1 have proved to be of limited value. Although computerized tomography is essential for the evaluation of distant organ metastases, its ability to correctly stage the local extent of the disease is suboptimal.2 Since its introduction, endoscopic ultrasonography (EUS) has become an important tool in the staging of patients with carcinoma of the esophagus and gastroesophageal junction.4 The accuracy of EUS is 85% in assessing depth-of-wall penetration and 80% for assessment of nodal status. 2-4 Despite the wide experience reported by Japanese and some European investigators,5-7 only a few surgical centers in North America have reported their experience with preoperative EUS and its impact on subsequent therapy.8-9 This report summarizes our experience with 55 patients who underwent preoperative EUS followed by esophagectomy and radical lymph-node dissection at The New York -Hospital-Cornell Medical Center.

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