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Circumferential Balloon-based Radiofrequency Ablation of Barrett's Esophagus With Dysplasia Can Be Simplified, yet Efficacy Maintained, by Omitting the Cleaning Phase Frederike G.I. van Vilsteren, K. Nadine Phoa, Lorenza Alvarez Herrero, Roos E. Pouw, Carine M.T. Sondermeijer, Ineke van Lijnschoten, Kees A. Seldenrijk, Mike Visser, Sybren L. Meijer, Mark I. van Berge Henegouwen, Bas L.A.M. Weusten, Erik J. Schoon, Jacques J.G.H.M. Bergman Clinical Gastroenterology and Hepatology Volume 11, Issue 5, Pages e1 (May 2013) DOI: /j.cgh Copyright © 2013 AGA Institute Terms and Conditions
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Figure 1 (A) Baseline C4M6 Barrett's esophagus containing high-grade dysplasia. (B) Simple-no-cleaning regimen for circumferential radiofrequency ablation. (C) There is 88% BE surface regression at 3 months; focal ablation. (D) Complete response for neoplasia/intestinal metaplasia after 4 RFA sessions. Clinical Gastroenterology and Hepatology , e1DOI: ( /j.cgh ) Copyright © 2013 AGA Institute Terms and Conditions
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Figure 2 (A and B) Baseline C3M10 Barrett's esophagus after ER (T1m3 carcinoma) treated with the simple-with-cleaning regimen for circumferential radiofrequency ablation; HALO360 balloon placed in the stomach during cleaning of the ablation zone. (C) There is 83% Barrett's surface regression at 3 months; focal ablation. (D) Complete response for neoplasia/intestinal metaplasia after 4 RFA sessions. Clinical Gastroenterology and Hepatology , e1DOI: ( /j.cgh ) Copyright © 2013 AGA Institute Terms and Conditions
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Supplementary Figure 1 Patient flow chart. CR-IM, complete response for intestinal metaplasia; CR-N, complete response for neoplasia; HGD, high-grade dysplasia; Z-line, squamocolumnar junction. Clinical Gastroenterology and Hepatology , e1DOI: ( /j.cgh ) Copyright © 2013 AGA Institute Terms and Conditions
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