Long-term outcomes after endoscopic treatment for Barrett's neoplasia with radiofrequency ablation ± endoscopic resection: results from the national Dutch database in a 10-year period.
Barrett's carcinoma
Barrett's oesophagus
endoscopic procedures
Journal
Gut
ISSN: 1468-3288
Titre abrégé: Gut
Pays: England
ID NLM: 2985108R
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
received:
15
09
2020
revised:
02
03
2021
accepted:
08
03
2021
pubmed:
24
3
2021
medline:
9
3
2022
entrez:
23
3
2021
Statut:
ppublish
Résumé
Radiofrequency ablation (RFA)±endoscopic resection (ER) is the preferred treatment for early neoplasia in Barrett's oesophagus (BE). We aimed to report short-term and long-term outcomes for all 1384 patients treated in the Netherlands (NL) from 2008 to 2018, with uniform treatment and follow-up (FU) in a centralised setting. Endoscopic therapy for early BE neoplasia in NL is centralised in nine expert centres with specifically trained endoscopists and pathologists that adhere to a joint protocol. Prospectively collected data are registered in a uniform database. Patients with low/high-grade dysplasia or low-risk cancer, were treated by ER of visible lesions followed by trimonthly RFA sessions of any residual BE until complete eradication of BE (CE-BE). Patients with ER alone were not included. After ER (62% of cases; 43% low-risk cancers) and median 1 circumferential and 2 focal RFA (p25-p75 0-1; 1-2) per patient, CE-BE was achieved in 94% (1270/1348). Adverse events occurred in 21% (268/1386), most commonly oesophageal stenosis (15%), all were managed endoscopically. A total of 1154 patients with CE-BE were analysed for long-term outcomes. During median 43 months (22-69) and 4 endoscopies (1-5), 38 patients developed dysplastic recurrence (3%, annual recurrence risk 1%), all were detected as endoscopically visible abnormalities. Random biopsies from a normal appearing cardia showed intestinal metaplasia (IM) in 14% and neoplasia in 0%. A finding of IM in the cardia was reproduced during further FU in only 33%, none progressed to neoplasia. Frequent FU visits in the first year of FU were not associated with recurrence risk. In a setting of centralised care, RFA±ER is effective for eradication of Barrett's related neoplasia and has remarkably low rates of dysplastic recurrence. Our data support more lenient FU intervals, with emphasis on careful endoscopic inspection. Random biopsies from neosquamous epithelium and cardia are of questionable value. NL7039.
Identifiants
pubmed: 33753417
pii: gutjnl-2020-322615
doi: 10.1136/gutjnl-2020-322615
pmc: PMC8762001
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
265-276Investigateurs
A Karrenbeld
(A)
A Ooms
(A)
C Huysentruyt
(C)
F Ten Kate
(F)
F Moll
(F)
G Kats-Ugurlu
(G)
I van Lijnschoten
(I)
J van de Laan
(J)
J Offerhaus
(J)
K Biermann
(K)
K Seldenrijk
(K)
L Brosens
(L)
S Meijer
(S)
M Doukas
(M)
E Overdevest
(E)
R Houwen
(R)
A Kumçu
(A)
M van Riswijk
(M)
M W Chan
(MW)
C Kroeze
(C)
M Siim
(M)
E Verheij
(E)
S der Graaf
(S)
S Nedjat
(S)
Informations de copyright
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: SvM, EN, AH, AB, AA, BES, EJS, WC, ADK, SEMvdV, PJFdJ, TJT, WBN, FTMP, JW, MHMGH, REP declared to have no disclosures relevant to this manuscript. BLAMW received financial support for IRB-approved research from C2Therapeutics/Pentax Medical. JJGHMB received financial support for IRB-approved research from C2Therapeutics/Pentax Medical, Medtronic, and Aqua Medical.
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