Post written by Robert Bechara, MD, from the Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. A 64-year-old woman with a complex Barrett’s history was referred to our esophageal center. Her treatment history included endoscopic mucosal resection (EMR) with M3 intramucosal carcinoma and incomplete response to radiofrequency ablation (RFA) of the remaining Barrett’s, as …
Continue reading Salvage circumferential ESD for refractory dysplastic Barrett’s esophagus
Post written by Jason B. Samarasena, MD, from the H. H. Chao Comprehensive Digestive Disease Center, Division of Gastroenterology & Hepatology, Department of Medicine, University of California, Irvine, Orange, California, USA. Esophageal adenocarcinoma is actually rising in this country and not going down! The visual detection of early esophageal neoplasia in BE with white-light and …
GIE Senior Associate Editor, Dr. Douglas G. Adler MD, FACG, AGAF, FASGE, highlights this article from the June issue “Deep learning algorithm detection of Barrett’s neoplasia with high accuracy during live endoscopic procedures” by Albert J. de Groof, MD, et al. Computer aided detection (CAD) is undergoing rapid development. It seems likely that, in the …
Post written by Rajesh Krishnamoorthi, MD, from the Digestive Diseases Institute, Virginia Mason Medical Center, Seattle, Washington, USA. The current study is systematic review and meta-analysis to estimate the risk of progression to high-grade dysplasia and/or esophageal adenocarcinoma in patients with Barrett's esophagus indefinite for dysplasia. Barrett’s esophagus (BE) is a precursor lesion for esophageal …
Continue reading Risk of progression in Barrett’s esophagus indefinite for dysplasia
Post written by Anouk Overwater, MD, from the Department of Gastroenterology and Hepatology, St Antonius Hospital, Nieuwegein, and the Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands. The main question of this study is which specimen handling method results in an optimal histopathological evaluation of endoscopic resection specimens of …
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 …
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 …
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 …
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 …
Continue reading Focal cryoballoon versus radiofrequency ablation of dysplastic Barrett’s esophagus
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 …
Continue reading Multifocal nitrous oxide cryoballoon ablation
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