Barrett’s Esophagus

Autor: Christian S. Jackson, Kenneth J. Vega, Karen Chang
Rok vydání: 2021
Předmět:
Zdroj: Gastroenterology Clinics of North America. 50:751-768
ISSN: 0889-8553
DOI: 10.1016/j.gtc.2021.08.009
Popis: Barrett's esophagus (BE) is the precursor lesion for esophageal adenocarcinoma (EAC) development. Unfortunately, BE screening/surveillance has not provided the anticipated EAC reduction benefit. Noninvasive techniques are increasingly available or undergoing testing to screen for BE among those with/without known risk factors, and the use of artificial intelligence platforms to aid endoscopic screening and surveillance will likely become routine, minimizing missed cases or lesions. Management of high-grade dysplasia and intramucosal EAC is clear with endoscopic eradication therapy preferred to surgery. BE with low-grade dysplasia can be managed with removal of visible lesions combined with endoscopic eradication therapy or endoscopic surveillance at present.
Databáze: OpenAIRE