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Endoscopic Eradication Therapy in Barrett's Esophagus
Swathi Eluri1, Nicholas J Shaheen1
1Center for Esophageal Diseases and Swallowing, Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, NC.
Techniques in Gastrointestinal Endoscopy
|December 23, 2017
Summary
Endoscopic eradication therapy (EET) for Barrett's esophagus requires specialized skills. Implementing standardized training and quality metrics is crucial for improving patient outcomes and ensuring competency in these advanced endoscopic procedures.
Area of Science:
- Gastroenterology
- Endoscopic procedures
- Neoplasia treatment
Background:
- Endoscopic eradication therapy (EET) is standard for Barrett's esophagus with dysplasia/neoplasia.
- EET combines endoscopic resection and ablation, with radiofrequency ablation showing strong safety/efficacy.
- Performing EET safely and effectively demands significant expertise.
Purpose of the Study:
- To highlight the need for standardized training in EET.
- To emphasize the importance of quality metrics in EET.
- To advocate for improved competency assessment in endoscopic procedures.
Main Methods:
- Review of current practices in endoscopic eradication therapy.
- Analysis of the role of case volume and quality indicators in EET.
- Discussion of the necessity for formal training curricula.
Main Results:
- Few formal programs exist to teach essential EET skills.
- Limited data suggests case volume impacts outcomes, leading to competency endorsements.
- Quality indicators for EET have been developed but are not widely adopted.
Conclusions:
- Established efficacy of EET for Barrett's esophagus necessitates quality metric application.
- Standardized training and competency assessment are vital for improving EET care.
- A formal EET training curriculum can enhance patient outcomes.
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