Abstract:
BACKGROUND:5-Aminolaevulinic acid (ALA) is the naturally occurring metabolic precursor of an endogenously formed photosensitiser, protoporphyrin IX. It is used topically to treat benign and malignant skin disorders by a process called photodynamic therapy (PDT). Recently, data are emerging on its systemic use in the treatment of dysplasia in Barrett's oesophagus. OBJECTIVE:To investigate the use of ALA-PDT for the treatment of dysplasia and early cancer in Barrett's oesophagus. METHODS:A systematic literature review and synopsis is given. CONCLUSION:ALA is an attractive alternative to the currently approved photosensitiser (porfimer sodium) due to its oral route of administration, shorter generalised skin photosensitivity period and lower rate of stricture formation. The studies presented demonstrate that ALA-PDT is both safe and effective for the treatment of dysplasia and early cancer in Barrett's oesophagus.
journal_name
Expert Opin Pharmacotherjournal_title
Expert opinion on pharmacotherapyauthors
Dunn J,Lovat Ldoi
10.1517/14656566.9.5.851subject
Has Abstractpub_date
2008-04-01 00:00:00pages
851-8issue
5eissn
1465-6566issn
1744-7666journal_volume
9pub_type
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journal_title:Expert opinion on pharmacotherapy
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