Buried Barrett’s Esophagus with High-Grade Dysplasia after Radiofrequency Ablation
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Radiofrequency ablation therapy is an effective endoscopic option for the eradication of Barrett’s esophagus that appears to reduce therisk 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 afterthe successful radiofrequency ablation of Barrett’s esophagus have been reported to date. Here, we describe a new case of subsquamousneoplasia (high-grade dysplasia) following radiofrequency ablation that was managed with endoscopic resection. Our experiencesuggests that a meticulous endoscopic inspection prior to and after radiofrequency ablation is fundamental to reduce the risk of buriedneoplasia development.
Abstract
Radiofrequency ablation therapy is an effective endoscopic option for the eradication of Barrett’s esophagus that appears to reduce therisk 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 afterthe successful radiofrequency ablation of Barrett’s esophagus have been reported to date. Here, we describe a new case of subsquamousneoplasia (high-grade dysplasia) following radiofrequency ablation that was managed with endoscopic resection. Our experiencesuggests that a meticulous endoscopic inspection prior to and after radiofrequency ablation is fundamental to reduce the risk of buriedneoplasia development.
참고문헌 (20)
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