Endoscopic Management of Barrett’s Esophagus: Advances in Endoscopic Techniques

2012 ◽  
Vol 57 (12) ◽  
pp. 3055-3064 ◽  
Author(s):  
Ali Azarm ◽  
Ismet Lukolic ◽  
Meenal Shukla ◽  
Ronald Concha-Parra ◽  
Frank Gress
Keyword(s):  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Endoscopic Management ◽  
Endoscopic Techniques

scholarly journals Acetic acid-guided biopsies in Barrett’s surveillance for neoplasia detection versus non-targeted biopsies (Seattle protocol): A feasibility study for a randomized tandem endoscopy trial. The ABBA study

2018 ◽  
Vol 06 (01) ◽  
pp. E43-E50 ◽  
Author(s):  
Fergus Chedgy ◽  
Carole Fogg ◽  
Kesavan Kandiah ◽  
Hugh Barr ◽  
Bernard Higgins ◽  
...  
Keyword(s):  
Acetic Acid ◽  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Qualitative Interviews ◽  
Current Treatment ◽  
Outcome Data ◽  
Endoscopic Techniques ◽  
Repeat Endoscopy ◽  
The Uk ◽  
Barrett’S Surveillance

Abstract Background and study aims Barrett’s esophagus is a potentially pre-cancerous condition, affecting 375,000 people in the UK. Patients receive a 2-yearly endoscopy to detect cancerous changes, as early detection and treatment results in better outcomes. Current treatment requires random mapping biopsies along the length of Barrett’s, in addition to biopsy of visible abnormalities. As only 13 % of pre-cancerous changes appear as visible nodules or abnormalities, areas of dysplasia are often missed. Acetic acid chromoendoscopy (AAC) has been shown to improve detection of pre-cancerous and cancerous tissue in observational studies, but no randomized controlled trials (RCTs) have been performed to date. Patients and methods A “tandem” endoscopy cross-over design. Participants will be randomized to endoscopy using mapping biopsies or AAC, in which dilute acetic acid is sprayed onto the surface of the esophagus, highlighting tissue through an whitening reaction and enhancing visibility of areas with cellular changes for biopsy. After 4 to 10 weeks, participants will undergo a repeat endoscopy, using the second method. Rates of recruitment and retention will be assessed, in addition to the estimated dysplasia detection rate, effectiveness of the endoscopist training program, and rates of adverse events (AEs). Qualitative interviews will explore participant and endoscopist acceptability of study design and delivery, and the acceptability of switching endoscopic techniques for Barrett's surveillance. Results Endoscopists’ ability to diagnose dysplasia in Barrett’s esophagus can be improved. AAC may offer a simple, universally applicable, easily-acquired technique to improve detection, affording patients earlier diagnosis and treatment, reducing endoscopy time and pathology costs. The ABBA study will determine whether a crossover “tandem” endoscopy design is feasible and acceptable to patients and clinicians and gather outcome data to power a definitive trial.

Meta-Analysis for Comparison between Antireflux Surgery With or Without Endoscopic Management of Barrett's Esophagus

2021 ◽  
Vol 89 (9) ◽  
pp. 1427-1436
Author(s):  
KHALED A. EL FIKY, M.D.; MOHAMED MAHFOUZ MOHAMED, M.D. ◽  
AHMED Y. EL RIFAI, M.D.; KHALED M. ELAMIR ABDO, M. Sc.
Keyword(s):  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Antireflux Surgery ◽  
Meta Analysis ◽  
Endoscopic Management

Su1290 Practice Patterns Among Community Gastroenterologists Regarding Endoscopic Management of Barrett's Esophagus

2012 ◽  
Vol 75 (4) ◽  
pp. AB281
Author(s):  
Mandeep Singh ◽  
Kamran Aghaie ◽  
Preetika Sinh ◽  
Neil Gupta ◽  
Gokulakrishnan Balasubramanian ◽  
...  
Keyword(s):  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Practice Patterns ◽  
Endoscopic Management

Questionnaire-Based Survey Conducted in 2011 concerning Endoscopic Management of Barrett’s Esophagus in East Asian Countries

Digestion ◽  
2012 ◽  
Vol 86 (2) ◽  
pp. 136-146 ◽  
Author(s):  
Norihisa Ishimura ◽  
Yuji Amano ◽  
Jose D. Sollano ◽  
Qi Zhu ◽  
Udom Kachintorn ◽  
...  
Keyword(s):  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
East Asian ◽  
Endoscopic Management ◽  
Asian Countries

scholarly journals Impact of endoscopic mucosal resection in patients referred for endoscopic management of Barrett's esophagus

2013 ◽  
Vol 2 (2) ◽  
pp. 90-93 ◽  
Author(s):  
Michelle P. Clermont ◽  
Saurabh Chawla ◽  
Kevin E. Woods ◽  
Steven A. Keilin ◽  
Qiang Cai ◽  
...  
Keyword(s):  
Barrett’S Esophagus ◽  
Endoscopic Mucosal Resection ◽  
Barrett's Esophagus ◽  
Endoscopic Management ◽  
Mucosal Resection

scholarly journals Medical and endoscopic management of high-grade dysplasia in Barrett's esophagus

2012 ◽  
Vol 25 (4) ◽  
pp. 349-355 ◽  
Author(s):  
K. K. Wang ◽  
J. M. Tian ◽  
E. Gorospe ◽  
J. Penfield ◽  
G. Prasad ◽  
...  
Keyword(s):  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
High Grade Dysplasia ◽  
Endoscopic Management ◽  
High Grade
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