The ageing population and changes in incidence of upper gastrointestinal cancer will have profound changes for our management of these patients. There is much debate as how to bring forward the diagnosis of early mucosal cancer that may be curable using endoscopy or by surgery. In the older more frail patients, early disease will often be controlled by endoscopic resection and ablation therapy.
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Competing interests None.
Provenance and peer review Commissioned; internally peer reviewed.