Abstract：
:Periodic endoscopic follow-up is recommended after the diagnosis of Barrett's oesophagus, particularly in patients with dysplasia. The new endoscopic techniques show promising results in identifying areas suspected of housing high grade dysplasia and adenocarcinoma. Endoscopic resection of the mucosa has become a fundamental technique for the complete histological assessment of these lesions and is able to establish appropriate therapeutic decisions. Likewise, this technique may be the therapeutic option in patients with high grade dysplasia and adenocarcinoma, although its application must be complemented with ablation techniques such as radiofrequency to eliminate the residual Barrett's metaplasia. Oesophagectomy associated with lymphadenectomy is the option of choice in patients with submucosal adenocarcinoma. The diagnosis and treatment of patients with early onset high grade dysplasia and adenocarcinoma must be carried out with multidisciplinary teams who can evaluate each case individually. This strategy will enable the oesophagus to be preserved in many patients with high grade dysplasia and indicate oesophagectomy in selected cases.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Pera M,Grande L,Iglesias M,Ramón JM,Conio Mdoi
10.1016/j.ciresp.2009.01.026subject
Has Abstractpub_date
2009-06-01 00:00:00pages
331-40issue
6eissn
0009-739Xissn
1578-147Xpii
S0009-739X(09)00242-5journal_volume
85pub_type
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