Buried Barrett's Esophagus with High-Grade Dysplasia after Radiofrequency Ablation

Radiofrequency ablation therapy is an effective endoscopic option for the eradication of Barrett's esophagus that appears to reduce the risk of esophageal cancer. A concern associated with this technique is the development of subsquamous/buried intestinal metaplasia, whose clinical relevance an...

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Bibliographic Details
Main Authors: Joana Castela (Author), Miguel Serrano (Author), Susana Mão de Ferro (Author), Daniela Vinha Pereira (Author), Paula Chaves (Author), António Dias Pereira (Author)
Format: Book
Published: Korean Society of Gastrointestinal Endoscopy, 2019-05-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Joana Castela  |e author 
700 1 0 |a Miguel Serrano  |e author 
700 1 0 |a Susana Mão de Ferro  |e author 
700 1 0 |a Daniela Vinha Pereira  |e author 
700 1 0 |a Paula Chaves  |e author 
700 1 0 |a António Dias Pereira  |e author 
245 0 0 |a Buried Barrett's Esophagus with High-Grade Dysplasia after Radiofrequency Ablation 
260 |b Korean Society of Gastrointestinal Endoscopy,   |c 2019-05-01T00:00:00Z. 
500 |a 2234-2400 
500 |a 2234-2443 
500 |a 10.5946/ce.2018.124 
520 |a Radiofrequency ablation therapy is an effective endoscopic option for the eradication of Barrett's esophagus that appears to reduce the risk of esophageal cancer. A concern associated with this technique is the development of subsquamous/buried intestinal metaplasia, whose clinical relevance and malignant potential have not yet been fully elucidated. Fewer than 20 cases of subsquamous neoplasia after the successful radiofrequency ablation of Barrett's esophagus have been reported to date. Here, we describe a new case of subsquamous neoplasia (high-grade dysplasia) following radiofrequency ablation that was managed with endoscopic resection. Our experience suggests that a meticulous endoscopic inspection prior to and after radiofrequency ablation is fundamental to reduce the risk of buried neoplasia development. 
546 |a EN 
690 |a Barrett esophagus 
690 |a Catheter ablation 
690 |a Esophageal neoplasms 
690 |a Internal medicine 
690 |a RC31-1245 
690 |a Diseases of the digestive system. Gastroenterology 
690 |a RC799-869 
655 7 |a article  |2 local 
786 0 |n Clinical Endoscopy, Vol 52, Iss 3, Pp 269-272 (2019) 
787 0 |n http://www.e-ce.org/upload/pdf/ce-2018-124.pdf 
787 0 |n https://doaj.org/toc/2234-2400 
787 0 |n https://doaj.org/toc/2234-2443 
856 4 1 |u https://doaj.org/article/234c60c4c2ac4815b2045eb9bcccb64c  |z Connect to this object online.