Reducing Infection Risk in Colonoscopy
Colonoscopy is a well recognized diagnostic and therapeutic tool. Endoscope reprocessing must be done correctly every time; a breach of protocol leading to transmission of infection has the potential to…
Diagnosis and Management of Barrett’s Esophagus: What’s Next?
The past decade has led to marked improvements in our understanding regarding the pathogenesis and risk of progression of Barrett’s esophagus (BE), enhanced imaging technology to improve dysplasia detection, and…
Chemoprevention in Barrett’s Esophagus: A Pill a Day?
Esophageal adenocarcinoma is increasing in incidence. The main risk factor is the premalignant condition of Barrett’s esophagus. There is great interest in chemoprevention to prevent or slow malignant transformation. There…
Endoscopic Interventions in Barrett’s Esophagus: Do the Dollars Make Sense?
Advances in the development of endoscopic therapies for Barrett’s esophagus have resulted in the emergence of an important paradigm shift for management of early neoplasia and represent an opportunity to…
Role of Minimally Invasive Surgery in the Modern Treatment of Barrett’s Esophagus
Gastroesophageal reflux disease (GERD) is a highly prevalent disease. Population studies have demonstrated that a significant proportion of individuals weekly experience GERD symptoms. Barrett’s esophagus (BE), defined by the presence…
Endotherapy for Barrett’s Esophagus: Which, How, When, and Who?
Recent developments in endoscopic therapeutic options for Barrett’s esophagus (BE) early neoplasia have resulted in a dramatic paradigm shift in its clinical management. With multiple endoscopic choices available, it is…
The Role of Radiofrequency Ablation in the Management of Barrett’s Esophagus
Studies in the last several years have consistently shown radiofrequency ablation (RFA) to be effective, safe, and well tolerated in the treatment of nondysplastic and dysplastic Barrett’s esophagus (BE). The…
Cryotherapy for Barrett’s Esophagus: Who, How, and Why?
Cryotherapy is a noncontact ablation method that has long been used clinically in the treatment of a wide variety of malignant and premalignant diseases. The relative ease of use and…
Endoscopic Resection
Endoscopic resection (ER) has become the most important endoscopic treatment method of early cancers of the upper GI tract. ER serves as a therapeutic but also as a diagnostic tool…
Photodynamic Therapy
Photodynamic therapy (PDT) is a photochemical process that uses a photosensitizer drug activated by laser light to produce mucosal ablation. Porfimer sodium PDT has proved long-term efficacy and durability in the…
