Management of Barrett's esophagus with dysplasia refractory to radiofrequency ablation.

World Journal of Gastroenterology : WJG
Kara L Raphael, Arvind J Trindade

Abstract

Radiofrequency ablation (RFA) is very effective for eradication of flat Barrett's mucosa in dysplastic Barrett's esophagus after endoscopic resection of raised lesions. However, in a minority of the time, RFA may be ineffective at eradication of the Barrett's mucosa. Achieving complete eradication of intestinal metaplasia can be challenging in these patients. This review article focuses on the management of patients with dysplastic Barrett's esophagus refractory to RFA therapy. Management strategies discussed in this review include optimizing the RFA procedure, optimizing acid suppression (with medical, endoscopic, and surgical management), cryotherapy, hybrid argon plasma coagulation, and EndoRotor resection.

References

Sep 27, 2005·Alimentary Pharmacology & Therapeutics·S WaniP Sharma
Mar 22, 2007·Alimentary Pharmacology & Therapeutics·R FerrarisUNKNOWN Gruppo Operativo Studio Precancerosi Esofagee
May 29, 2009·The New England Journal of Medicine·Nicholas J ShaheenCharles J Lightdale
Nov 9, 2010·The Journal of Thoracic and Cardiovascular Surgery·Jörg ZehetnerTom R DeMeester
Nov 30, 2010·Gastrointestinal Endoscopy Clinics of North America·William J Bulsiewicz, Nicholas J Shaheen
Sep 13, 2012·Surgical Innovation·Vinciane MulsGuido Costamagna
Oct 30, 2012·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·William J BulsiewiczNicholas J Shaheen
May 7, 2013·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Eric S OrmanNicholas J Shaheen
Mar 29, 2014·JAMA : the Journal of the American Medical Association·K Nadine PhoaJacques J G H M Bergman
Mar 6, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Corey S JohnsonRalph W Aye
Jan 1, 2014·Seminars in Thoracic and Cardiovascular Surgery·Michal J LadaJeffrey H Peters
Jun 25, 2015·Surgical Endoscopy·Hendrik MannerChristian Ell
Jun 28, 2015·Gastroenterology·Sarina PasrichaNicholas J Shaheen
Nov 4, 2015·The American Journal of Gastroenterology·Nicholas J ShaheenUNKNOWN American College of Gastroenterology
Apr 14, 2016·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Bashar J QumseyaHerbert Wolfsen
Feb 15, 2017·The American Journal of Gastroenterology·Srinadh KomanduriJohn Pandolfino
Mar 18, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Arvind J TrindadeVivek Kaul
Dec 23, 2017·Techniques in Gastrointestinal Endoscopy·Swathi Eluri, Nicholas J Shaheen
Feb 6, 2017·VideoGIE : an Official Video Journal of the American Society for Gastrointestinal Endoscopy·UNKNOWN ASGE Technology CommitteeJohn T Maple
Aug 8, 2018·United European Gastroenterology Journal·Mate KnabeAndrea May
Jul 10, 2019·Endoscopy International Open·Clayton M SpicelandPuja S Elias

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Citations

Jun 11, 2021·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·Christopher J BowmanWon-Tak Choi

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Methods Mentioned

BETA
dissection

Clinical Trials Mentioned

NCT03554356
NCT03364114

Software Mentioned

EndoRotor

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