Presentation is loading. Please wait.

Presentation is loading. Please wait.

Volume 145, Issue 1, Pages (July 2013)

Similar presentations


Presentation on theme: "Volume 145, Issue 1, Pages (July 2013)"— Presentation transcript:

1 Volume 145, Issue 1, Pages 96-104 (July 2013)
Remission of Barrett's Esophagus With Early Neoplasia 5 Years After Radiofrequency Ablation With Endoscopic Resection: A Netherlands Cohort Study  K. Nadine Phoa, Roos E. Pouw, Frederike G.I. van Vilsteren, Carine M.T. Sondermeijer, Fiebo J.W. Ten Kate, Mike Visser, Sybren L. Meijer, Mark I. van Berge Henegouwen, Bas L.A. M. Weusten, Erik J. Schoon, Rosalie C. Mallant–Hent, Jacques J.G. H.M. Bergman  Gastroenterology  Volume 145, Issue 1, Pages (July 2013) DOI: /j.gastro Copyright © 2013 AGA Institute Terms and Conditions

2 Figure 1 Retrograde view of a normal-appearing neo-SJC on endoscopy after earlier RFA. In 1 of 4 biopsies focal IM was detected. (A) White-light; (B) NBI; and (C) directly after obtaining gastric cardia follow-up biopsies. Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2013 AGA Institute Terms and Conditions

3 Figure 2 Flow diagram of patients progressing through the treatment and follow-up phase of the trial. Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2013 AGA Institute Terms and Conditions

4 Figure 3 Endoscopic resection for recurrent mucosal (T1m2) carcinoma at 5-year follow-up. (A), (B) Detection of an elevated Barrett’s island 2 cm above the neo-SCJ, on white-light and NBI. (C) Delineation and (D), (E) resection of the lesion. (F) Neo-SCJ, without visible residual BE or abnormalities 3 months after endoscopic resection. Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2013 AGA Institute Terms and Conditions

5 Figure 4 Kaplan–Meier plot showing the durability of CR-neoplasia after endoscopic resection and RFA for early BE neoplasia in 54 patients. Three patients with recurrent disease were considered a failure for disease-free survival, even though CR-neoplasia was re-established after endoscopic treatment. Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2013 AGA Institute Terms and Conditions

6 Figure 5 Proportion of patients (%) with focal intestinal metaplasia (IM) of the gastric cardia at each follow-up in relation to the number of patients visiting. There is no increased incidence observed over time. Of 19 patients with focal IM, this finding was not reproduced during subsequent endoscopies in 89% of cases. Gastroenterology  , DOI: ( /j.gastro ) Copyright © 2013 AGA Institute Terms and Conditions


Download ppt "Volume 145, Issue 1, Pages (July 2013)"

Similar presentations


Ads by Google