The role of esophagectomy in the management of Barrett's esophagus with high-grade dysplasia.


Journal

Annals of the New York Academy of Sciences
ISSN: 1749-6632
Titre abrégé: Ann N Y Acad Sci
Pays: United States
ID NLM: 7506858

Informations de publication

Date de publication:
12 2020
Historique:
received: 01 04 2020
revised: 12 06 2020
accepted: 24 06 2020
pubmed: 20 8 2020
medline: 30 12 2020
entrez: 20 8 2020
Statut: ppublish

Résumé

Barrett's esophagus (BE) with high-grade dysplasia (HGD) has previously been a routine indication for esophagectomy. Recent advances in endoscopic therapy have resulted in a shift away from surgery. Current international guidelines recommend endoscopic therapy for BE with HGD irrespective of recurrence or progression of dysplasia. Current guidelines do not address the ongoing role of esophagectomy as an adjunct in the setting of failed endoscopic therapy. This review examines the role of esophagectomy as an adjunct to endoscopy in the management of patients with BE and HGD, with a specific focus on patients with persistent, progressive, or recurrent disease, disease resistant to endoscopic therapy, in patients with concomitant esophageal pathology, and in those patients in whom lifelong surveillance may not be possible or desired.

Identifiants

pubmed: 32812261
doi: 10.1111/nyas.14439
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

72-89

Informations de copyright

© 2020 New York Academy of Sciences.

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Auteurs

Henry Badgery (H)

Department of Upper Gastrointestinal Surgery, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.

Matthew Read (M)

Department of Upper Gastrointestinal Surgery, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
Department of Surgery, The University of Melbourne, St Vincent's Hospital, Melbourne, Victoria, Australia.

Nicole N Winter (NN)

Department of Upper Gastrointestinal Surgery, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Andrew C F Taylor (ACF)

Department of Gastroenterology, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
Faculty of Medicine, Dentistry and Health Sciences, the University of Melbourne, Melbourne, Victoria, Australia.

Michael W Hii (MW)

Department of Upper Gastrointestinal Surgery, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
Department of Surgery, The University of Melbourne, St Vincent's Hospital, Melbourne, Victoria, Australia.

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