New Barretts Esophagus Treatments Video

Today we have endoscopic therapies including radiofrequency ablation, cryotherapy, and endoscopic mucosal resection to treat Barretts esophagus. Often times an endoscopic mucosal resection is combined with radiofrequency ablation. The endoscopic m...
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What Are The Newest Treatments & Technologies? Ten years ago, we really didn't have the endoscopic therapies that are available to us today. These therapies include ablation of pre-cancerous mucosa by radiofrequency ablation, we're looking at cryo therapy, which is freezing the epithelial of the esophagus and of course, one of the best-studied endoscopic therapies and the one with just perhaps had the best outcomes to date for early cancers endoscopic mucosal resection, essentially polypectomy of abnormal areas of the lining. Often times we would combine an endoscopic mucosal resection with the radiofrequency ablation procedure; we would do the endoscopic mucosal resection to remove any irregularities underlining any nodules or lumps and bumps and certainly any cancer we would want to remove by endoscopic mucosal resection. So we can determine a margin and also a depth of the specimen the pathologist would tell us that. Once the lining has healed, we would follow the endoscopic mucosal resection with what is called a radiofrequency ablation procedure. This is commonly known as the hallow procedure to much of the public. The purpose of that is to basically treat any residual non-cancers but potentially precancerous Barrett's esophagus. So we remove the cancer, we remove any lumps or bumps and then we follow up with an ablative procedure to remove anything that could develop into a cancer in the future. These are all minimally invasive options that are all done in a endoscopic procedure by gastroenterologist. And you know all of them, the patients go home immediately afterwards they're relatively safe and well tolerated. So, certainly if you have pre-cancer or cancer in Barrett's esophagus you should seek consultation in a high volume center where the surgeons perform a lot of procedures because surgical outcomes are correlated with procedure volume and certainly, where endoscopic therapy may be an option because if the center doesn't have expertise and I it may not even be offered to the patient.

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