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Management of high-grade dysplasia in patients with Barrett's esophagus.

Abstract
In the past, the standard management for patients with high-grade dysplasia in Barrett's esophagus was esophagectomy, in part on the basis of the assumption that the patient was likely to harbor an undetected carcinoma. With better awareness of the safety of surveillance protocols, improved prospective surveillance, and experience with cohorts of patients in whom incident early lesions unassociated with invasive carcinomas are detected, endoscopic techniques for treatment of Barrett-associated neoplasia have become excellent alternatives to esophagectomy for appropriately selected patients. Emerging endoscopic techniques offer an opportunity for better evaluation of patients with Barrett's-associated neoplasia.
AuthorsElizabeth Montgomery, Marcia Irene Canto
JournalClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association (Clin Gastroenterol Hepatol) Vol. 4 Issue 12 Pg. 1434-9 (Dec 2006) ISSN: 1542-3565 [Print] United States
PMID17162237 (Publication Type: Case Reports, Journal Article)
Topics
  • Barrett Esophagus (drug therapy, pathology)
  • Biopsy
  • Disease Progression
  • Endoscopy, Gastrointestinal (methods)
  • Esophageal Neoplasms (pathology, prevention & control)
  • Follow-Up Studies
  • Humans
  • Intestinal Mucosa (pathology)
  • Male
  • Middle Aged
  • Photochemotherapy (methods)

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