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Challenges in Endoscopic Therapy of Dysplastic Barrett’s Esophagus

  • Esophagus (PG Iyer, Section Editor)
  • Published:
Current Treatment Options in Gastroenterology Aims and scope Submit manuscript

Abstract

Purpose of review

Barrett’s esophagus (BE) is the only known measurable factor associated with esophageal adenocarcinoma. The development of endoscopic eradication therapy (EET) has transformed the way BE is managed. Given the fairly recent development of EET, its role in BE is still evolving.

Recent findings

This paper discusses the challenges that endoscopists face at the preprocedural, intraprocedural, and postprocedural stages of BE management. These include challenges in risk stratification, dysplasia detection, ablation methods and dosimetry, choice of resection technique, and management of refractory disease.

Summary

Despite the advances in EET in BE, there remain challenges that this review focuses on. Future research into these challenges will optimize ablation techniques and strategies in the future.

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  1. Division of Gastroenterology, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY, 11040, USA

    Aurada Cholapranee MD & Arvind J Trindade MD

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  1. Aurada Cholapranee MD
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Correspondence to Arvind J Trindade MD.

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Arvind Trindade reports personal fees as a consultant from Pentax Medical and CSA Medical.

Aurada Cholapranee declares no conflict of interest.

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Cholapranee, A., Trindade, A.J. Challenges in Endoscopic Therapy of Dysplastic Barrett’s Esophagus. Curr Treat Options Gastro 17, 32–47 (2019). https://doi.org/10.1007/s11938-019-00215-8

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