Radiofrequency ablation of Barrett's esophagus

被引：7

作者：

Frantz, David J. ^{[1
]}

Dellon, Evan S. ^{[1
]}

Shaheen, Nicholas J. ^{[1
]}

机构：

[1] Univ N Carolina, Ctr Esophageal Dis & Swallowing, Sch Med, Dept Med,Div Gastroenterol & Hepatol, Chapel Hill, NC 27514 USA

来源：

TECHNIQUES IN GASTROINTESTINAL ENDOSCOPY | 2010年 / 12卷 / 02期

关键词：

Barrett's esophagus; Radiofrequency ablation; Dysplasia;

D O I：

10.1016/j.tgie.2010.02.005

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Barrett's esophagus, a metaplastic change in the esophagus wherein normal squamous epithelium is replaced by specialized columnar epithelium, is a complication of chronic gastroesophageal reflux disease. There is an association between Barrett's esophagus and esophageal adenocarcinoma. Since 1977, esophageal cancer has increased by more than 500% in the United States. The optimal treatment for dysplastic Barrett's esophagus is unclear. One method for treating dysplastic Barrett's esophagus is radiofrequency ablation (RFA). RFA has been shown to effectively induce reversion to neosquamous tissue, and has been demonstrated in a randomized trial to significantly decrease the risk of progression of dysplasia to cancer. Minimal complications have been reported, and the technique can be performed in an outpatient setting. The aim of this article is to outline and discuss the technical aspects of performance of RFA. The basic principles of RFA and the rationale for adapting this technique to the esophagus will be briefly discussed. Next, the equipment and technique will be explained in detail, including suggestions for improved outcomes. Finally, potential complications, follow-up intervals, and expected outcomes will be addressed. (C) 2010 Elsevier Inc. All rights reserved.

引用

页码：100 / 107

页数：8

共 33 条

[1] Racial and ethnic disparities in the prevalence of Barrett's esophagus among patients who undergo upper endoscopy [J].

Abrams, Julian A. ;

Fields, Sydney ;

Lightdale, Charles J. ;

Neugut, Alfred I. .

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2008, 6 (01) :30-34

[2] Squamous Overgrowth Is Not a Safety Concern for Photodynamic Therapy for Barrett's Esophagus With High-Grade Dysplasia [J].

Bronner, Mary P. ;

Overholt, Bergen F. ;

Taylor, Shari L. ;

Haggitt, Rodger C. ;

Wang, Kenneth K. ;

Burdick, J. Steven ;

Lightdale, Charles J. ;

Kimmey, Michael ;

Nava, Hector R. ;

Sivak, Michael V. ;

Nishioka, Norman ;

Barr, Hugh ;

Canto, Marcia I. ;

Marcon, Norman ;

Pedrosa, Marcos ;

Grace, Michael ;

Depot, Michelle .

GASTROENTEROLOGY, 2009, 136 (01) :56-64

[3] Radiofrequency Ablation of Barrett's Esophagus: Short-Term Results [J].

Eldaif, Shady M. ;

Lin, Edward ;

Singh, Kimberly A. ;

Force, Seth D. ;

Miller, Daniel L. .

ANNALS OF THORACIC SURGERY, 2009, 87 (02) :405-411

[4] Temporal trends (1973-1997) in survival of patients with Esophageal adenocarcinoma in the United States: A glimmer of hope? [J].

Eloubeidi, MA ;

Mason, AC ;

Desmond, RA ;

El-Serag, HB .

AMERICAN JOURNAL OF GASTROENTEROLOGY, 2003, 98 (07) :1627-1633

[5] Endoscopic ablation of Barrett's esophagus: a multicenter study with 2.5-year follow-up [J].

Fleischer, David E. ;

Overholt, Bergein F. ;

Sharma, Virender K. ;

Reymunde, Alvaro ;

Kimmey, Michael B. ;

Chuttani, Ram ;

Chang, Kenneth J. ;

Lightdale, Charles J. ;

Santiago, Nilda ;

Pleskow, Douglas K. ;

Dean, Patrick J. ;

Wang, Kenneth K. .

GASTROINTESTINAL ENDOSCOPY, 2008, 68 (05) :867-876

[6] Circumferential ablation of Barrett's esophagus that contains high-grade dysplasia: a US multicenter registry [J].

Ganz, Robert A. ;

Overholt, Bergein F. ;

Sharma, Virender K. ;

Fleischer, David E. ;

Shaheen, Nicholas J. ;

Lightdale, Charles J. ;

Freeman, Stephen R. ;

Pruitt, Ronald E. ;

Urayama, Shiro M. ;

Gress, Frank ;

Pavey, Darren A. ;

Branch, M. Stanley ;

Savides, Thomas J. ;

Chang, Kenneth J. ;

Muthusamy, V. Raman ;

Bohorfoush, Anthony G. ;

Pace, Samuel C. ;

DeMeester, Steven R. ;

Eysselein, Viktor E. ;

Panjehpour, Masoud ;

Triadafilopoulos, George .

GASTROINTESTINAL ENDOSCOPY, 2008, 68 (01) :35-40

[7]

Goldberg S N, 2001, Eur J Ultrasound, V13, P129, DOI 10.1016/S0929-8266(01)00126-4

[8] Effective treatment of early Barrett's neoplasia with stepwise circumferential and focal ablation using the HALO system [J].

Gondrie, J. J. ;

Pouw, R. E. ;

Sondermeijer, C. M. T. ;

Peters, F. P. ;

Curvers, W. L. ;

Rosmolen, W. D. ;

Ten Kate, F. ;

Fockens, P. ;

Bergman, J. J. .

ENDOSCOPY, 2008, 40 (05) :370-379

[9] Stepwise circumferential and focal ablation of Barrett's esophagus with high-grade dysplasia: results of the first prospective series of 11 patients [J].

Gondrie, J. J. ;

Pouw, R. E. ;

Sondermeijer, C. M. T. ;

Peters, F. P. ;

Curvers, W. L. ;

Rosmolen, W. D. ;

Krishnadath, K. K. ;

Ten Kate, F. ;

Fockens, P. ;

Bergman, J. J. .

ENDOSCOPY, 2008, 40 (05) :359-369

[10] Pilot series of radiofrequency ablation of Barrett's esophagus with or without neoplasia [J].

Hernandez, J. C. ;

Reicher, S. ;

Chung, D. ;

Pham, B. V. ;

Tsai, F. ;

Disibio, G. ;

French, S. ;

Eysselein, V. E. .

ENDOSCOPY, 2008, 40 (05) :388-392

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