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Published on: March 15, 2020
Radiofrequency Ablation and Cryotherapy for Dysplastic Barrett's Esophagus
Swathi Eluri1, Marcia Irene Canto2
1Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA; Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill, USA.
None:
In this article, we aim to provide an in-depth review of the 2 primary ablative therapies, radiofrequency ablation and cryotherapy, for the treatment of dysplastic Barrett's esophagus (BE). Specifically for cryotherapy, the article will focus on liquid nitrogen spray cryotherapy and cryoballoon ablation. For each ablative modality, we will discuss the mechanisms of action, technical aspects, indications, patient selection, treatment protocols, efficacy, safety, and outcomes of both therapies. Additionally, we will provide an overview of the role of endoscopic eradication therapy within the broader management strategy of BE, including pretreatment assessment, patient counseling, and long-term surveillance.
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