Photodynamic therapy using 5-aminolaevulinic acid for the treatment of dysplasia in Barrett's oesophagus.

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.

authors

Dunn J,Lovat L

doi

10.1517/14656566.9.5.851

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

851-8

issue

5

eissn

1465-6566

issn

1744-7666

journal_volume

9

pub_type

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