Update on endoscopic treatment of Barrett's oesophagus and Barrett's oesophagus–related neoplasia.

Endoscopic therapy of early Barrett's oesophagus–related neoplasia is the treatment of choice for low-grade-dysplasia, high-grade dysplasia and mucosal Barrett's cancer. Low-grade-dysplasia without any visible lesion should be ablated, preferably with radiofrequency ablation. In cases with the prese...

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Detalles Bibliográficos
Publicado en:Therapeutic Advances in Gastrointestinal Endoscopy pp. 1 - 10
Autores principales: Pech, Oliver, Alqahtani, Saleh A.
Formato: algorithm pictorial questions and answers review Journal Article
Publicado: Sage Publications Inc. 7/27/2020
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Endoscopic therapy of early Barrett's oesophagus–related neoplasia is the treatment of choice for low-grade-dysplasia, high-grade dysplasia and mucosal Barrett's cancer. Low-grade-dysplasia without any visible lesion should be ablated, preferably with radiofrequency ablation. In cases with the presence of a visible lesion, high-grade dysplasia and early Barrett's adenocarcinoma, endoscopic resection techniques like multiband ligation endoscopic resection or endoscopic submucosal dissection should be applied. After complete resection of all visible neoplastic lesions, ablation of the remaining Barrett's oesophagus should be performed to prevent recurrence. Ablation techniques available are radiofrequency ablation, argon plasma coagulation and cryoablation.