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 …
Continue reading Endoscopic submucosal dissection for early Barrett’s neoplasia
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
Post written by Madhav Desai, MD, MPH, and Prateek Sharma, MD, from the University of Kansas Medical Center. Barrett’s esophagus increases your risk for dysplastic changes that can turn into cancer. This subject has drawn our attention in last 2 decades with its rising prevalence, and now, we are in an era in which we …
Continue reading Efficacy and safety outcomes of multimodal endoscopic eradication therapy
Rajesh Krishnamoorthi, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, at Mayo Clinic in Rochester, Minnesota, USA discusses this systematic review and meta-analysis "Risk of recurrence of Barrett’s esophagus after successful endoscopic therapy." Endoscopic therapy is currently the treatment of choice for Barrett’s esophagus (BE) related dysplasia and mucosal adenocarcinoma. While …
Continue reading Risk of recurrence of BE after successful endoscopic therapy
This month’s Editor’s Choice article comes from Sharmila Anandasabapathy, MD, FASGE. She highlights the Original Article, "Management of Barrett’s high-grade dysplasia: initial results from a population-based national audit" by Georgina Chadwick, MRCP, Oliver Groene, PhD, Angelina Taylor, MSc, et al. This is the first study to use patient level data, rather than self-reported clinical practice, …
Continue reading Editor’s Choice: Management of Barrett’s high-grade dysplasia
Neil Sengupta, MD, from the Department of Medicine and Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, in Boston, Massachusetts, USA describes this Original Article, "Salvage cryotherapy after failed radiofrequency ablation for Barrett’s esophagus–related dysplasia is safe and effective." Radiofrequency ablation (RFA) is an effective and durable treatment option for patients with …
Continue reading Salvage cryotherapy after failed radiofrequency ablation
William C. Palmer, MD from the Mayo Clinic in Jacksonville, Florida, USA shares this video case, "Endoscopic management of high-grade dysplastic Barrett’s esophagus with esophageal varices." Our video demonstrates the case of a 62-year-old woman with esophageal varices and long-segment Barrett’s esophagus (Prague C1-M6) with high-grade dysplasia and focal intramucosal adenocarcinoma who was treated with …
Continue reading Managing Barrett’s esophagus with esophageal varices
Associate Editor Jacques Devière, MD, PhD recommends this Original Article from the December issue "Detection and staging of esophageal cancers within Barrett’s esophagus is improved by assessment in specialized Barrett’s units." The authors clearly address a common problem in the assessment of patients having Barrett's esophagus (BE) and dysplasia. In 2014, evaluation of these patients includes …
Continue reading Editor’s Choice: Detection and staging of esophageal cancers within BE
Amitabh Chak, MD from Case Western Reserve University School of Medicine, University Hospitals Case Medical Center in Cleveland, Ohio, USA discusses his Original Article "Comparative acceptability of transnasal esophagoscopy and esophageal capsule esophagoscopy: a randomized, controlled trial in veterans." The goal of the study was to determine whether veterans would accept novel methods for Barrett's …
Robert Enns, MD recommends this original article from the February issue "Cost-effectiveness of endoscopic surveillance of non-dysplastic Barrett’s esophagus" by Louisa G. Gordon, PhD, George C. Mayne, PhD, Nicholas G. Hirst, MHealthEcon, Timothy Bright, MBBS, PhD, David C. Whiteman, MBBS, PhD, for the Australian Cancer Study Clinical Follow-Up Study, and David I. Watson, MBBS, PhD. …
Continue reading Editor’s Choice- Cost-effectiveness of endoscopic surveillance
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