[HTML][HTML] Endoscopic diagnosis and management of barrett's esophagus with low-grade dysplasia

F Maione, A Chini, R Maione, M Manigrasso, A Marello… - Diagnostics, 2022 - mdpi.com
F Maione, A Chini, R Maione, M Manigrasso, A Marello, G Cassese, N Gennarelli, M Milone…
Diagnostics, 2022mdpi.com
Barrett's Esophagus is a common condition associated with chronic gastroesophageal reflux
disease. It is well known that it has an association with a higher incidence of esophageal
adenocarcinoma, but this neoplastic transformation is first preceded by the onset of low and
high-grade dysplasia. The evaluation of low grade dysplastic esophageal mucosa is still
controversial; although endoscopic surveillance is preferred, several minimally invasive
endoscopic therapeutic approaches are available. Endoscopic mucosal resection and …
Barrett’s Esophagus is a common condition associated with chronic gastroesophageal reflux disease. It is well known that it has an association with a higher incidence of esophageal adenocarcinoma, but this neoplastic transformation is first preceded by the onset of low and high-grade dysplasia. The evaluation of low grade dysplastic esophageal mucosa is still controversial; although endoscopic surveillance is preferred, several minimally invasive endoscopic therapeutic approaches are available. Endoscopic mucosal resection and radiofrequency ablation are the most used endoscopic treatments for the eradication of low-grade dysplasia, respectively, for nodular and flat dysplasia. Novel endoscopic treatments are cryotherapy ablation and argon plasma coagulation, that have good rates of eradication with less complications and post-procedural pain.
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