Barrett's Esophagus: The Evolution of Views (Review)
NYU Kohanenko, TSH Morgoshiia, M Ter-Ovanesov, AV Glebova, OG Vavilova and AA Kashintsev*
Federal State Budgetary Educational Institution of Higher Education "Saint Petersburg State Pediatric Medical University" of the Ministry of Health of Russia, Russian Federation
*Corresponding Author: AA Kashintsev, Federal State Budgetary Educational Institution of Higher Education "Saint Petersburg State Pediatric Medical University" of the Ministry of Health of Russia, Russian Federation.
November 17, 2021; Published: December 31, 2021
Barrett's esophagus (BE) is known to be a disease characterized by the replacement of the multilayer flat epithelium with a metaplastic columnar epithelium. Technological advances in endoscopic procedures have radically changed the treatment of dysplastic and early cancers from aggressive to organ-preserving endoscopic treatment. A multi-modal approach to treatment has been shown combining endoscopic resection of visible and/or protruding lesions with ablative methods for early forms of mucosal lesions in Barrett's esophagus, followed by long-term follow-up, which improves the results of treatment of this nosological form. Safe and effective endoscopic treatment can be both tissue acquisition, as in endoscopic mucosal resection with endoscopic submucous dissection, and tissue ablation, as in photodynamic therapy, radiofrequency stimulation and cryotherapy. Joint decision-making between a patient and a doctor is important when considering treatment of Barrett's esophagus and dysplasia.
Keywords: Barrett's Esophagus; Gastroesophageal Reflux Disease; Esophageal Adenocarcinoma; Endoscopy; Dysplasia Treatment; Surgical Treatment
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