Ablation of Barrett's esophagus. How, when, why?

被引：0

作者：

Terheggen, G. ^{[1
]}

Schumacher, B. ^{[1
]}

机构：

[1] Evangel Krankenhaus Dusseldorf, Med Klin, Abt Gastroenterol, Kirchfeldstr 40, D-40217 Dusseldorf, Germany

来源：

GASTROENTEROLOGE | 2013年 / 8卷 / 02期

关键词：

Barrett's esophagus; Dysplasia; Ablation technique; Radiofrequency ablation (RFA); Argon plasma coagulation (APC);

D O I：

10.1007/s11377-012-0718-2

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Endoscopic therapy is well established in the treatment of early Barrett's neoplasia and can be divided into techniques for endoscopic resection and methods for ablation of Barrett's esophagus. After focal resection of early neoplasia complete eradication of residual Barrett's mucosa is indicated for the prevention of recurrences or metachronous neoplasia. Radiofrequency ablation is currently the best available ablation technique in well selected patients because it is safe and highly effective, has low complication rates, preserves the functional integrity of the esophagus, is easy to apply and generally shows last-ing therapeutic success. Argon plasma coagulation plays a role in the ablation of small areas of residual non-dysplastic Barrett's mucosa after endoscopic resection. The ablation of non-dysplastic Barrett's esophagus is not recommended and should only be considered within clinical trials for the evaluation of independent risk factors for malignant progression.

引用

页码：127 / 133

页数：7

共 30 条

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