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01-03-2015 | Invited Commentary

Endoscopic Treatment for Dysplastic Barrett’s Esophagus

Authors: Christine Kestens, Peter D. Siersema

Published in: World Journal of Surgery | Issue 3/2015

Excerpt

We read the article by Subramanian et al. [1] with great interest. The authors provided a concise but complete overview of the current state of endoscopic treatment modalities for nondysplastic and dysplastic Barrett’s esophagus (BE). They concluded that visible lesions in BE should be treated with endoscopic resection, either endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD), and with radiofrequency ablation (RFA) of residual intestinal metaplasia. We would like to make some additional comments in regard to the treatment of patients with dysplastic BE. …

Subramanian CR, Triadafilopoulos G (2014) Endoscopic treatments for dysplastic Barrett’s esophagus: resection, ablation, what else? World J Surg. doi:10.1007/s00268-014-2636-6

Curvers WL, ten Kate FJ, Krishnadath KK et al (2010) Low-grade dysplasia in Barrett’s esophagus: overdiagnosed and underestimated. Am J Gastroenterol 105:1523–1530CrossRefPubMed

Phoa KN, van Vlisteren FG, Weusten BL et al (2014) Radiofrequency ablation versus endoscopic surveillance for patients with Barrett esophagus and low-grade dysplasia: a randomized clinical trial. JAMA 311:1209–1217CrossRefPubMed

Shaheen NJ, Sharma P, Overholt BF et al (2009) Radiofrequency ablation in Barrett’s esophagus with dysplasia. N Engl J Med 360:2277–2288CrossRefPubMed

Sikkema M, Looman CW, Steyerberg EW et al (2011) Predictors for neoplastic progression in patients with Barrett’s Esophagus: a prospective cohort study. Am J Gastroenterol 106:1231–1238CrossRefPubMed

Fudman DI, Lightdale CJ, Poneros JM et al (2014) Positive correlation between endoscopist rediofrequency ablation volume and response rates in Barrett’s esophagus. Gastrointest Endosc 80(1):71–77CrossRefPubMedCentralPubMed

Anders M, Bähr C, El-Masry MA et al (2014) Long-term recurrence of neoplasia and Barrett’s epithelium after complete endoscopic resection. Gut. doi: 10.1136/gutjnl-2013-305538

Phoa KN, Pouw RE, van Visteren FGI et al (2013) Radiofrequency ablation with endoscopic resection: a Netherlands cohort study. Gastroenterology 145:96–104CrossRefPubMed

Title: Endoscopic Treatment for Dysplastic Barrett’s Esophagus
Authors: Christine Kestens
Peter D. Siersema
Publication date: 01-03-2015
Publisher: Springer US
Published in: World Journal of Surgery / Issue 3/2015
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-014-2764-z

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