Volume 145, Issue 1, Pages (July 2013)

Slides:



Advertisements
Similar presentations
Endoscopic Treatment of Barrett’s Esophagus and Early Esophageal Cancer CTOP Retreat 2014 Dartmouth-Hitchcock Medical Center.
Advertisements

Volume 145, Issue 1, Pages (July 2013)
Risk of recurrence of Barrett’s esophagus after successful endoscopic therapy  Rajesh Krishnamoorthi, MD, Siddharth Singh, MD, Karthik Ragunathan, MD,
Risk of Esophageal Adenocarcinoma and Mortality in Patients With Barrett's Esophagus: A Systematic Review and Meta-analysis  Marjolein Sikkema, Pieter.
Epidemiology, Diagnosis, and Management of Esophageal Adenocarcinoma
Esophageal Adenocarcinoma
Sachin Wani, Dayna Early, Steve Edmundowicz, Prateek Sharma 
Volume 153, Issue 3, Pages e2 (September 2017)
The Seattle Protocol Does Not More Reliably Predict the Detection of Cancer at the Time of Esophagectomy Than a Less Intensive Surveillance Protocol 
M.Boal; J. Batt; P. Wilkerson; D.R. Titcomb
Volume 134, Issue 4, Pages (April 2008)
Covering the Cover Gastroenterology
Herbert C. Wolfsen, Michael B. Wallace  Gastroenterology 
Persistence of Human Papillomavirus, Overexpression of p53, and Outcomes of Patients After Endoscopic Ablation of Barrett's Esophagus  Shanmugarajah Rajendra,
Epidemiology, Diagnosis, and Management of Esophageal Adenocarcinoma
Safety and Efficacy of Endoscopic Mucosal Therapy With Radiofrequency Ablation for Patients With Neoplastic Barrett's Esophagus  William J. Bulsiewicz,
Volume 152, Issue 4, Pages (March 2017)
Efficacy of Radiofrequency Ablation Combined With Endoscopic Resection for Barrett's Esophagus With Early Neoplasia  Roos E. Pouw, Katja Wirths, Pierre.
Barrett's esophagus: diagnosis and management
Christoph Lübbert, Babett Holler  Gastroenterology 
Covering the Cover Gastroenterology
Volume 153, Issue 3, Pages e2 (September 2017)
Volume 137, Issue 3, Pages (September 2009)
Endoscopic eradication therapy for patients with Barrett’s esophagus–associated dysplasia and intramucosal cancer  Sachin Wani, MD, Bashar Qumseya, MD,
Volume 154, Issue 5, Pages e3 (April 2018)
Survival of Patients With Superficial Esophageal Adenocarcinoma After Endoscopic Treatment vs Surgery  Saowanee Ngamruengphong, Herbert C. Wolfsen, Michael.
Outcomes Among Living Liver Donors
Covering the Cover Gastroenterology
Volume 152, Issue 5, Pages (April 2017)
Volume 149, Issue 3, Pages e3 (September 2015)
Body Composition and Barrett’s Esophagus
Complete Endoscopic Mucosal Resection Is Effective and Durable Treatment for Barrett's-Associated Neoplasia  Vani J.A. Konda, Mariano Gonzalez Haba Ruiz,
Cause-Specific Mortality of People With Barrett's Esophagus Compared With the General Population: A Population-Based Cohort Study  Masoud Solaymani–Dodaran,
Endoscopic resection and ablation versus esophagectomy for high-grade dysplasia and intramucosal adenocarcinoma  Jörg Zehetner, MD, Steven R. DeMeester,
Amnon Sonnenberg, Richard H. Lash, Robert M. Genta  Gastroenterology 
Volume 142, Issue 2, Pages (February 2012)
Volume 145, Issue 1, Pages (July 2013)
Patients With Barrett’s Esophagus and Persistent Low-grade Dysplasia Have an Increased Risk for High-grade Dysplasia and Cancer  Christine Kestens, G.
Amir Klein, Michael J. Bourke  Gastroenterology 
Volume 153, Issue 3, Pages e16-e17 (September 2017)
Seth D. Crockett, A. Sidney Barritt, Nicholas J. Shaheen 
Volume 150, Issue 4, Pages (April 2016)
Volume 143, Issue 2, Pages (August 2012)
A Cost-Utility Analysis of Ablative Therapy for Barrett's Esophagus
Sibu Varghese, Pierre Lao–Sirieix, Rebecca C. Fitzgerald 
Barrett's esophagus: diagnosis and management
Prateek Sharma, MD, Sachin Wani, MD, Amit Rastogi, MD 
Volume 143, Issue 3, Pages e1 (September 2012)
Esophageal Adenocarcinoma 10 Years After Surgical Resection of Barrett’s Esophagus: Unusual Presentation as Subepithelial Tumor  Andreas Probst, Tina.
Volume 136, Issue 1, Pages (January 2009)
Risk of Esophageal Adenocarcinoma and Mortality in Patients With Barrett's Esophagus: A Systematic Review and Meta-analysis  Marjolein Sikkema, Pieter.
Endoscopic Therapy for Barrett's Esophagus
Efficacy and Durability of Radiofrequency Ablation for Barrett's Esophagus: Systematic Review and Meta-analysis  Eric S. Orman, Nan Li, Nicholas J. Shaheen 
Volume 154, Issue 5, Pages (April 2018)
Volume 141, Issue 2, Pages (August 2011)
Hematemesis in a Patient Presenting With Right-Sided Weakness and Recent Percutaneous Catheter Radiofrequency Ablation for Atrial Fibrillation  Ming-Hsi.
Circumferential Balloon-based Radiofrequency Ablation of Barrett's Esophagus With Dysplasia Can Be Simplified, yet Efficacy Maintained, by Omitting the.
Volume 146, Issue 3, Pages e1 (March 2014)
Volume 149, Issue 3, Pages e4 (September 2015)
Volume 143, Issue 3, Pages (September 2012)
The Dawning of a New Editorial Board for Gastroenterology
Volume 156, Issue 1, Pages 7-10 (January 2019)
Adherence to Biopsy Guidelines for Barrett's Esophagus Surveillance in the Community Setting in the United States  Julian A. Abrams, Robert C. Kapel,
Endoscopic Resection of Esophageal Mucosal Bridge
Volume 145, Issue 3, Pages e1 (September 2013)
Prateek Sharma, Gary W. Falk, Allan P
The Future of Endoscopic Retrograde Cholangiopancreatography
Amir Klein, Michael J. Bourke  Gastroenterology 
Statin Use Is Associated With a Decreased Risk of Barrett’s Esophagus
Low-grade dysplasia in Barrett’s esophagus
Presentation transcript:

Volume 145, Issue 1, Pages 87-95 (July 2013) Radiofrequency Ablation and Endoscopic Mucosal Resection for Dysplastic Barrett's Esophagus and Early Esophageal Adenocarcinoma: Outcomes of the UK National Halo RFA Registry  Rehan J. Haidry, Jason M. Dunn, Mohammed A. Butt, Matthew G. Burnell, Abhinav Gupta, Sarah Green, Haroon Miah, Howard L. Smart, Pradeep Bhandari, Lesley Ann Smith, Robert Willert, Grant Fullarton, John Morris, Massimo Di Pietro, Charles Gordon, Ian Penman, Hugh Barr, Praful Patel, Philip Boger, Neel Kapoor, Brinder Mahon, Jonathon Hoare, Ravi Narayanasamy, Dermot O'Toole, Edward Cheong, Natalie C. Direkze, Yeng Ang, Marco Novelli, Matthew R. Banks, Laurence Bruce Lovat  Gastroenterology  Volume 145, Issue 1, Pages 87-95 (July 2013) DOI: 10.1053/j.gastro.2013.03.045 Copyright © 2013 AGA Institute Terms and Conditions

Figure 1 Primary outcomes of complete eradication of HGD, LGD, all dysplasia and Barrett's esophagus in 335 patients who have completed treatment protocol at 12 months. Twelve patients underwent ablation for LGD. Gastroenterology 2013 145, 87-95DOI: (10.1053/j.gastro.2013.03.045) Copyright © 2013 AGA Institute Terms and Conditions

Figure 2 KM analysis for durability of CR-D and CR-BE after successful treatment where patients underwent both focal and circumferential ablation during the 12-month protocol. Time 0 represents the first biopsy demonstrating no dysplasia or no intestinal metaplasia (BE) and failure is defined as recurrent dysplasia or BE on histology even if these patients then went on to have additional endotherapy. Gastroenterology 2013 145, 87-95DOI: (10.1053/j.gastro.2013.03.045) Copyright © 2013 AGA Institute Terms and Conditions

Figure 3 KM analysis for durability of CR-D and CR-BE after successful ablation in patients who underwent focal ablation alone during the treatment protocol. Time 0 represents the first biopsy demonstrating no dysplasia or no BE and failure is defined as recurrent dysplasia or intestinal metaplasia on histology even if these patients then went on to have additional endotherapy. Gastroenterology 2013 145, 87-95DOI: (10.1053/j.gastro.2013.03.045) Copyright © 2013 AGA Institute Terms and Conditions

Figure 4 Cumulative cancer risk in all patients (n = 335) completing treatment protocol with RFA for Barrett's neoplasia. The KM estimates the 5-year cancer risk at 8%. Gastroenterology 2013 145, 87-95DOI: (10.1053/j.gastro.2013.03.045) Copyright © 2013 AGA Institute Terms and Conditions

Figure 5 Association of baseline Barrett's maximum length and number of RFA treatment sessions to attain successful CR-D, shown as mean ± SE. Gastroenterology 2013 145, 87-95DOI: (10.1053/j.gastro.2013.03.045) Copyright © 2013 AGA Institute Terms and Conditions