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Buried Barrett’s Esophagus with High-Grade Dysplasia after Radiofrequency Ablation

Radiofrequency ablation therapy is an effective endoscopic option for the eradication of Barrett’s esophagus that appears to reduce the risk of esophageal cancer. A concern associated with this technique is the development of subsquamous/buried intestinal metaplasia, whose clinical relevance and mal...

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Autores principales: Castela, Joana, Serrano, Miguel, de Ferro, Susana Mão, Pereira, Daniela Vinha, Chaves, Paula, Pereira, António Dias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Gastrointestinal Endoscopy 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6547340/
https://www.ncbi.nlm.nih.gov/pubmed/30300980
http://dx.doi.org/10.5946/ce.2018.124
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author Castela, Joana
Serrano, Miguel
de Ferro, Susana Mão
Pereira, Daniela Vinha
Chaves, Paula
Pereira, António Dias
author_facet Castela, Joana
Serrano, Miguel
de Ferro, Susana Mão
Pereira, Daniela Vinha
Chaves, Paula
Pereira, António Dias
author_sort Castela, Joana
collection PubMed
description Radiofrequency ablation therapy is an effective endoscopic option for the eradication of Barrett’s esophagus that appears to reduce the risk of esophageal cancer. A concern associated with this technique is the development of subsquamous/buried intestinal metaplasia, whose clinical relevance and malignant potential have not yet been fully elucidated. Fewer than 20 cases of subsquamous neoplasia after the successful radiofrequency ablation of Barrett’s esophagus have been reported to date. Here, we describe a new case of subsquamous neoplasia (high-grade dysplasia) following radiofrequency ablation that was managed with endoscopic resection. Our experience suggests that a meticulous endoscopic inspection prior to and after radiofrequency ablation is fundamental to reduce the risk of buried neoplasia development.
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spelling pubmed-65473402019-06-17 Buried Barrett’s Esophagus with High-Grade Dysplasia after Radiofrequency Ablation Castela, Joana Serrano, Miguel de Ferro, Susana Mão Pereira, Daniela Vinha Chaves, Paula Pereira, António Dias Clin Endosc Case Report Radiofrequency ablation therapy is an effective endoscopic option for the eradication of Barrett’s esophagus that appears to reduce the risk of esophageal cancer. A concern associated with this technique is the development of subsquamous/buried intestinal metaplasia, whose clinical relevance and malignant potential have not yet been fully elucidated. Fewer than 20 cases of subsquamous neoplasia after the successful radiofrequency ablation of Barrett’s esophagus have been reported to date. Here, we describe a new case of subsquamous neoplasia (high-grade dysplasia) following radiofrequency ablation that was managed with endoscopic resection. Our experience suggests that a meticulous endoscopic inspection prior to and after radiofrequency ablation is fundamental to reduce the risk of buried neoplasia development. Korean Society of Gastrointestinal Endoscopy 2019-05 2018-10-05 /pmc/articles/PMC6547340/ /pubmed/30300980 http://dx.doi.org/10.5946/ce.2018.124 Text en Copyright © 2019 Korean Society of Gastrointestinal Endoscopy This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Castela, Joana
Serrano, Miguel
de Ferro, Susana Mão
Pereira, Daniela Vinha
Chaves, Paula
Pereira, António Dias
Buried Barrett’s Esophagus with High-Grade Dysplasia after Radiofrequency Ablation
title Buried Barrett’s Esophagus with High-Grade Dysplasia after Radiofrequency Ablation
title_full Buried Barrett’s Esophagus with High-Grade Dysplasia after Radiofrequency Ablation
title_fullStr Buried Barrett’s Esophagus with High-Grade Dysplasia after Radiofrequency Ablation
title_full_unstemmed Buried Barrett’s Esophagus with High-Grade Dysplasia after Radiofrequency Ablation
title_short Buried Barrett’s Esophagus with High-Grade Dysplasia after Radiofrequency Ablation
title_sort buried barrett’s esophagus with high-grade dysplasia after radiofrequency ablation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6547340/
https://www.ncbi.nlm.nih.gov/pubmed/30300980
http://dx.doi.org/10.5946/ce.2018.124
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