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内镜下 Barrett 食管消除治疗的争议。

Controversies in Endoscopic Eradication Therapy for Barrett's Esophagus.

机构信息

Division of Gastroenterology and Hepatology, Northwestern University, Chicago, Illinois.

Vatche and Tamar Manoukian Division of Digestive Diseases, University of California-Los Angeles, Los Angeles, California.

出版信息

Gastroenterology. 2018 May;154(7):1861-1875.e1. doi: 10.1053/j.gastro.2017.12.045. Epub 2018 Feb 16.

Abstract

Advances in endoscopic eradication therapy for Barrett's Esophagus-associated neoplasia have resulted in a significant paradigm shift in the diagnosis and management of this complex disease. A robust body of literature critically evaluating outcomes of resection and ablative strategies has allowed gastroenterologists to make quality, evidence-based decisions for their patients. Despite this progress, there are still many unanswered questions and challenges that remain. Ultimately, identification of a cost-effective screening modality, biomarkers for risk stratification, and strides to eliminate post surveillance endoscopy after endoscopic eradication therapy are essential to reach our long-term goal for eradication of esophageal adenocarcinoma.

摘要

内镜消除疗法在 Barrett 食管相关肿瘤治疗方面的进展,导致了该复杂疾病的诊断和治疗方式发生了重大转变。大量文献对切除和消融策略的结果进行了严格评估,使胃肠病学家能够为患者做出高质量、基于证据的决策。尽管取得了这些进展,但仍有许多悬而未决的问题和挑战。最终,确定一种具有成本效益的筛查方式、用于风险分层的生物标志物,以及消除内镜消除治疗后随访内镜检查,对于实现我们消除食管腺癌的长期目标至关重要。

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