Ablation Therapy for Barrett’s Esophagus: New Rules for Changing Times View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-08-17

AUTHORS

Nour Hamade, Prateek Sharma

ABSTRACT

Purpose of ReviewIn this review, we discuss different endoscopic techniques in the eradication of Barrett’s esophagus (BE) as well as some controversies in the field of treatment.Recent FindingsPatients with T1a esophageal adenocarcinoma and BE of high-grade dysplasia should undergo endoscopic ablative therapy. The most studied technique to date is radiofrequency ablation. It can be combined with endoscopic mucosal resection in cases containing nodular and flat lesions. Cryotherapy and APC have shown promise with good efficacy and safety profiles so far, but are not mainstream as more studies are needed. Surveillance is still required post-ablation since recurrence is common. Low-grade dysplasia can be treated with either endo-ablative therapy or surveillance. Non-dysplastic BE treatment is controversial and so far, only surveillance is recommended. Research is ongoing to better risk stratify these patients.SummaryOur ability to diagnose and treat BE has come a long way in the past few years with the goal of preventing its progression into malignancy. The advent of endoscopic techniques in the eradication of BE has provided a less invasive and safer modality of treatment as compared to surgical esophagectomy. Data in the form of randomized trials and high-volume registries has provided good evidence to support the efficacy of these techniques and their long-term durability. More... »

PAGES

48

References to SciGraph publications

  • 2013-07-16. Safety of Endoscopic Mucosal Resection for Barrett's Esophagus in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2010-05-11. Low-Grade Dysplasia in Barrett's Esophagus: Overdiagnosed and Underestimated in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2015-06-24. Efficacy and safety of Hybrid-APC for the ablation of Barrett’s esophagus in SURGICAL ENDOSCOPY
  • 2015-11-03. ACG Clinical Guideline: Diagnosis and Management of Barrett’s Esophagus in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11894-017-0589-2

    DOI

    http://dx.doi.org/10.1007/s11894-017-0589-2

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1091234728

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/28819902


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