Published online Aug 21, 2013. doi: 10.3748/wjg.v19.i31.5195
Revised: June 18, 2013
Accepted: July 4, 2013
Published online: August 21, 2013
To treat Barrett’s esophagus (BE), radiofrequency ablation or cryotherapy are effective treatments for eradicating BE with dysplasia and intestinal metaplasia, and reduce the rates of Barrett’s esophageal adenocarcinoma (BAC). However, patients with BE and dysplasia or early cancer who achieved complete eradication of intestinal metaplasia, BE recurred in 5% within a year, requiring expensive endoscopic surveillances. We performed endoscopic submucosal dissection as complete radically curable treatment procedure for BE with dysplasia, intestinal metaplasia and BAC.
Core tip: Radiofrequency ablation or cryotherapy is effective for eradicating Barrett’s esophagus (BE) with dysplasia; however, it recurs in 5% in a year. Endoscopic submucosal dissection is a complete radically curable treatment procedure for BE with dysplasia and Barrett’s esophageal adenocarcinoma.