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Long-term follow-up results of stepwise radical endoscopic resection for Barrett’s esophagus with early neoplasia  Kamar Belghazi, MD, Frederike G.I.

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Presentation on theme: "Long-term follow-up results of stepwise radical endoscopic resection for Barrett’s esophagus with early neoplasia  Kamar Belghazi, MD, Frederike G.I."— Presentation transcript:

1 Long-term follow-up results of stepwise radical endoscopic resection for Barrett’s esophagus with early neoplasia  Kamar Belghazi, MD, Frederike G.I. van Vilsteren, MD, PhD, Bas L.A.M. Weusten, MD, PhD, Sybren L. Meijer, MD, PhD, Jacques J.G.H.M. Bergman, MD, PhD, Roos E. Pouw, MD, PhD  Gastrointestinal Endoscopy  Volume 87, Issue 1, Pages (January 2018) DOI: /j.gie Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 Figure 1 Flow diagram of inclusion and follow-up. HGD/EC, high-grade dysplasia/early cancer; AMC, academic medical center; SRER, stepwise radical endoscopic resection; BE, Barrett's esophagus. Gastrointestinal Endoscopy  , 77-84DOI: ( /j.gie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 Figure 2 Kaplan-Meier plot showing the durability of complete eradication of dysplasia after initial successful stepwise radical endoscopic resection for early Barrett’s neoplasia in 73 patients. All patients with recurrence of any dysplasia were considered to be a failure for disease-free survival. Gastrointestinal Endoscopy  , 77-84DOI: ( /j.gie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

4 Figure 3 A, C4M5 Barrett’s esophagus with multifocal abnormalities with cancer in biopsy specimens. B and C, The entire Barrett’s segment is removed in 3 endoscopic resection sessions using multiband mucosectomy, which was complicated by a stricture for which the patient was dilated twice. D, The first follow-up endoscopy showing no residual Barrett’s epithelium. E, After 31 months of follow-up, a small island with columnar epithelium was seen and treated immediately with argon plasma coagulation. Gastrointestinal Endoscopy  , 77-84DOI: ( /j.gie ) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions


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