Open AccessSurveillance of patients with Barrett�s esophagus after complete eradication of intestinal metaplasia
Author(s) -
José Miguel Esteban López-Jamar,
Ravishankar Asokkumar,
Jacobo Ortiz-Fernández-Sordo,
Rehan Haidry
Publication year - 2020
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2020.7221/2020
Subject(s) - medicine , intestinal metaplasia , barrett's esophagus , gastroenterology , esophagus , general surgery , metaplasia , dysplasia , adenocarcinoma , cancer
A 55-year-old Caucasian male with a long history of smoking and reflux disease underwent endoscopic evaluation for dyspepsia. During upper endoscopy, a 4 cm long Barrett's segment with an 8 mm nodular lesion was detected. The lesion was removed en-bloc by endoscopic mucosal resection and biopsies were taken from the adjacent columnar epithelium. The histology of the lesion revealed high-grade dysplasia with clear resection margins and no lymphovascular invasion. The remaining biopsies did not show any dysplastic changes. He subsequently underwent three sequential sessions of radiofrequency ablation (RFA) to eradicate the remaining Barrett's epithelium. When this type of case presents to the clinic for follow-up, what do you do next?