Narrow-band imaging, volumetric laser endomicroscopy, and pathologic findings in Barrett’s esophagus

Post written by Norio Fukami, MD, AGAF, FACG, FASGE, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA. The case described in the video is a 36-year-old man with 10-year history of Barrett’s esophagus undergoing surveillance every 3 years who was referred for endoscopic resection on nodular dysplasia with cancer in the …

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Outcome of EMR in Barrett’s esophagus determined by systematic quantification of epithelial glands using VLE

Post written by Amrit K. Kamboj, MD, and Cadman L. Leggett, MD, from the Department of Internal Medicine and Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Volumetric laser endomicroscopy (VLE) is an advanced imaging modality that uses optical coherence tomography to capture real-time, high-resolution, cross-sectional images of the esophagus. Epithelial glands are …

Continue reading Outcome of EMR in Barrett’s esophagus determined by systematic quantification of epithelial glands using VLE

Increasing prevalence of high-grade dysplasia and adenocarcinoma on index endoscopy in Barrett’s esophagus

Post written by Madhav Desai, MD, MPH, from the Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, Kansas, USA. Barrett’s esophagus (BE) is a known precursor lesion for esophageal adenocarcinoma (EAC), and we know that incidence of the latter is rising in last 30 years thereby necessitating early detection and management of this …

Continue reading Increasing prevalence of high-grade dysplasia and adenocarcinoma on index endoscopy in Barrett’s esophagus

Focal cryoballoon versus radiofrequency ablation of dysplastic Barrett’s esophagus

Post written by Sanne N. van Munster, MD, from the Department of Gastroenterology and Hepatology, St Antonius Hospital, Nieuwegein, and the Department of Gastroenterology and Hepatology, Academic Medical Center, Amsterdam, the Netherlands. This study is a comparison of endoscopic cryoballoon ablation and radiofrequency ablation for eradication of Barrett’s-related neoplasia. Radiofrequency ablation (RFA) is the standard …

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Multifocal nitrous oxide cryoballoon ablation

Post written by Marcia Irene Canto, MD, MHS, from the Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. This article discusses a novel method for endoscopic eradication of neoplastic Barrett’s esophagus. We need to develop additional safe and effective approaches to treat Barrett’s esophagus and expand our endoscopic toolkit. In a …

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Endoscopic submucosal dissection for early Barrett’s neoplasia

Post written by Justin J. Forde, MD, from the Department of Medicine, University of Florida, Gainesville, Florida, USA. The role of endoscopic submucosal dissection (ESD) in Barrett's esophagus (BE) is not well established. This meta-analysis aimed to evaluate the safety and efficacy of ESD for the management of early BE neoplasia. ESD is an advanced technique that …

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Outcomes after liquid nitrogen spray cryotherapy in Barrett’s esophagus

Post written by Fariha H. Ramay, MD, MBA, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland. Barrett's esophagus (BE) is a known precursor to esophageal adenocarcinoma (EAC) and once high-grade dysplasia has developed, the risk of progression to EAC is considerable.  The emergence of endoscopic …

Continue reading Outcomes after liquid nitrogen spray cryotherapy in Barrett’s esophagus