After endoscopic resection of Barrett neoplasia, complete ablation of the remaining Barrett segment is thought to reduce the risk of relapse. Little is known about the long-term outcome of radiofrequency ablation (RFA) after prior endoscopic resection of Barrett neoplasia. The use of RFA in nondysplastic Barrett oesophagus is receiving increasing levels of criticism.
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References
Gupta, M. et al. Recurrence of esophageal intestinal metaplasia after endoscopic mucosal resection and radiofrequency ablation of Barrett's esophagus: results from a US multicenter consortium. Gastroenterology http://dx.doi.org/10.1053/j.gastro.2013.03.008.
Inadomi, J. M., Somsouk, M., Madanick, R. D., Thomas, J. P. & Shaheen, N. J. A cost-utility analysis of ablative therapy for Barrett's esophagus. Gastroenterology 136, 2101–2114 (2009).
Kim, H. P. et al. Focal endoscopic mucosal resection before radiofrequency ablation is equally effective and safe compared with radiofrequency ablation alone for the eradication of Barrett's esophagus with advanced neoplasia. Gastrointest. Endosc. 76, 733–739 (2012).
Orman, E. S. et al. Intestinal metaplasia recurs infrequently in patients successfully treated for Barrett's esophagus with radiofrequency ablation. Am. J. Gastroenterol. 108, 187–195 (2013).
Okoro, N. I. et al. Safety of prior endoscopic mucosal resection in patients receiving radiofrequency ablation of Barrett's esophagus. Clin. Gastroenterol. Hepatol. 10, 150–154 (2012).
Ganz, R. A. et al. Circumferential ablation of Barrett's esophagus that contains high-grade dysplasia: a U.S. Multicenter Registry. Gastrointest. Endosc. 68, 35–40 (2008).
Sharma, V. K. et al. Circumferential and focal ablation of Barrett's esophagus containing dysplasia. Am. J. Gastroenterol. 104, 310–317 (2009).
Shaheen, N. J. et al. Durability of radiofrequency ablation in Barrett's esophagus with dysplasia. Gastroenterology 141, 460–468 (2011).
Behrens, A., Pech, O. & Ell, C. Early Barrett's neoplasia—don't burn without histology. Z. Gastroenterol. 49, 1432–1433 (2011).
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H. Neumann declares no competing interests. M. Vieth declares that he acts as a consultant and receives Honoraria for speaking from Covidien.
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Vieth, M., Neumann, H. Is RFA the overall answer to all Barrett oesophagus issues?. Nat Rev Gastroenterol Hepatol 10, 388–389 (2013). https://doi.org/10.1038/nrgastro.2013.75
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DOI: https://doi.org/10.1038/nrgastro.2013.75