Ginsberg Gregory G
Hospital of the University of Pennsylvania, School of Medicine, Gastroenterology Division, 3rd floor Ravdin Building, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Best Pract Res Clin Gastroenterol. 2008;22(4):751-72. doi: 10.1016/j.bpg.2008.04.002.
This chapter will review the endoscopic approaches to the management of Barrett's oesophagus with high-grade dysplasia/early mucosal cancer. Factors to consider when evaluating patients for endoscopic management are detailed. Ablation and resection methods for eradication of Barrett's oesophagus with high-grade dysplasia/early mucosal cancer are reviewed. Strategies for combining therapies to achieve safe and effective eradication are discussed. Recommendations for complete eradication of all Barrett's mucosa and follow-up considerations are put forward.
本章将回顾内镜治疗伴有高级别异型增生/早期黏膜癌的巴雷特食管的方法。详细阐述评估患者进行内镜治疗时需考虑的因素。综述了根除伴有高级别异型增生/早期黏膜癌的巴雷特食管的消融和切除方法。讨论了联合治疗以实现安全有效根除的策略。提出了完全根除所有巴雷特黏膜的建议及随访注意事项。