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- W2892788171 abstract "Abstract The evidence now supports endoscopic therapy as the gold standard in patients with high-grade dysplasia in Barrett esophagus. The combination of endoscopic mucosal resection of visible abnormalities and associated ablation of the residual intestinal metaplasia with radiofrequency ablation (RFA) offers low morbidity with the most efficient and durable short- and long-term outcomes. Other ablative techniques include photodynamic therapy, argon plasma coagulation, and cryotherapy, but these may have higher morbidity and higher recurrence rates of intestinal metaplasia and higher rates of buried Barrett compared with RFA. The use of mucosal ablation for low-grade dysplasia can be considered under strict pathologic and clinical guidelines but should not be used in patients with nondysplastic intestinal metaplasia. All patients who have had endoscopic therapy for Barrett dysplasia require long-term acid suppression therapy and careful endoscopic follow-up." @default.
- W2892788171 created "2018-10-05" @default.
- W2892788171 creator A5056736042 @default.
- W2892788171 creator A5069425996 @default.
- W2892788171 date "2019-01-01" @default.
- W2892788171 modified "2023-09-25" @default.
- W2892788171 title "Ablation for Patients With Barrett or Dysplasia" @default.
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- W2892788171 doi "https://doi.org/10.1016/b978-0-323-40232-3.00034-0" @default.
- W2892788171 hasPublicationYear "2019" @default.
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