Background: Endoscopic, endoluminal radiofrequency ablation is achieving increasing acceptance as a mode of eliminating Barrett’s metaplasia and, thus, reducing the risk of developing esophageal adenocarcinoma. It is believed that reducing the exposure of the esophageal epithelium to acid is essential to achieve long-term ablation of Barrett’s esophagus. However, it is unclear whether the use of […]
Authors: Sophia K. McKinley1, Rebecca C. Dirks2, Danielle Walsh3, Celeste Hollands4, Lauren E. Arthur3, Noe Rodriguez5, Joyce Jhang6, Ahmed Abou-Setta7, Aurora Pryor8, Dimitrios Stefanidis2, Bethany J. Slater9 Affiliations: 1 – Department of Surgery, Massachusetts General Hospital, Boston, MA, USA 2 – Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA 3 – Department […]
Presented by Vic Velanovich at the Masters Series: The SAGES Masters Take You to Foregut School held during the 2017 SAGES Annual Meeting in Houston, TX on Wednesday, March 22, 2017 Keyword(s): acid reflux, acid suppression, AIM trial, algorithm, American College of Gastroenterology, anastomosis, antireflux surgery, asymptomatic, band ligator, Barretts esophagus, bile reflux, biopsies, Caucasian, […]
Background: Ablating Barrett’s epithelium may reduce the risk of developing esophageal adenocarcinoma. This study reports the initial experience of a single surgeon using an endoscopic endoluminal device delivering radiofrequency energy (the BARRx device) in ablating Barrett’s esophagus.Methods: All patients who underwent ablation of Barrett’s epithelium with the BARRx system were reviewed for length of Barrett’s […]
Introduction: Probe-based confocal laser endomicroscopy (pCLE) is one of several emerging technologies that offers unique advantages over conventional endoscopy in the surveillance and treatment of Barrett's esophagus. The goal of this study is to validate the use of pCLE in guiding the surveillance and treatment of Barrett's esophagus.
Methods: In our single-institution prospective study, 22 patients who presented with reflux symptoms were selected to undergo endoscopy with pCLE. Inclusion cr
Introduction:The purpose of Barrett’s surveillance programs is to assess the precursor lesion for the development of invasive adenocarcinoma and detect cancer as early as possible. Previous studies have demonstrated that the length of Barrett’s esophagus is an independent risk factor for the development of esophageal adenocarcinoma and that cancer is typically located at the distal […]
Objective of the technology
The replacement of normal squamous epithelium by specialized columnar epithelium with goblet cells (intestinal metaplasia), also known as Barrett’s esophagus, is a well-established esophageal precancerous lesion that commonly occurs after a long-standing history of gastroesophageal reflux disease (GERD).
High-definition eso-gastro-duodenoscopy (EGD) with biopsies according to the Seattle protocol (4 quadrants every 1-2cm and mucosal abnormalities) is the current st
WATS3D (CDx Diagnostics, Suffern, NY) Salvatore Docimo, DO1; Mazen Al-Mansour, MD2; Shawn Tsuda, MD3 1Division of Bariatric, Foregut, and Advanced GI Surgery, Stony Brook Medicine, Stony Brook, NY; 2Department of Surgery, University of Massachusetts Medical School/Baystate, Springfield, MA; 3VIP Surg, Las Vegas, NV Acknowledgements: SAGES Technology and Value Assessment Committee Sharona Ross MD, Co-Chair David […]
Introduction: Some surgeons perform routine preoperative screening endoscopy in all patients undergoing bariatric surgery. Various pathologies have been noted and reported during preoperative endoscopy. This investigation explores the incidence of Barrett’s esophagitis in patients undergoing preoperative screening endoscopy for bariatric surgery. The hypothesis that was tested was that Barrett’s esophagitis would be common in patients […]
Craig S Brown, Chi Wang, PhD, Jay L Goldstein, MD, John G Linn, MD, Ervin W Denham, MD, Stephen P Haggerty, MD, Mark S Talamonti, MD, John A Howington, MD, Michael B Ujiki, MD. NorthShore University Health Systems, Pritzker School of Medicine at the University of Chicago. Introduction: Barrett’s esophagus is the most predictive risk […]