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.

Endoscopic Diagnosis and Management of Barrett’s Esophagus with Low-Grade Dysplasia / Maione, F.; Chini, A.; Maione, R.; Manigrasso, M.; Marello, A.; Cassese, G.; Gennarelli, N.; Milone, M.; De Palma, G. D.. - In: DIAGNOSTICS. - ISSN 2075-4418. - 12:5(2022), p. 1295. [10.3390/diagnostics12051295]

Endoscopic Diagnosis and Management of Barrett’s Esophagus with Low-Grade Dysplasia

Maione F.;Chini A.;Maione R.;Manigrasso M.;Marello A.;Cassese G.;Milone M.;De Palma G. D.
2022

Abstract

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.
2022
Endoscopic Diagnosis and Management of Barrett’s Esophagus with Low-Grade Dysplasia / Maione, F.; Chini, A.; Maione, R.; Manigrasso, M.; Marello, A.; Cassese, G.; Gennarelli, N.; Milone, M.; De Palma, G. D.. - In: DIAGNOSTICS. - ISSN 2075-4418. - 12:5(2022), p. 1295. [10.3390/diagnostics12051295]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/907992
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