The Society of Thoracic Surgeons Practice Guideline Series: Guidelines for the Management of Barrett's Esophagus With High-Grade Dysplasia

被引:36
作者
Fernando, Hiran C. [1 ]
Murthy, Sudish C.
Hofstetter, Wayne
Shrager, Joseph B.
Bridges, Charles
Mitchell, John D.
Landreneau, Rodney J.
Clough, Ellen R.
Watson, Thomas J.
机构
[1] Boston Med Ctr, Dept Cardiothorac Surg, Boston, MA 02118 USA
关键词
ENDOSCOPIC MUCOSAL RESECTION; QUALITY-OF-LIFE; MINIMALLY INVASIVE ESOPHAGECTOMY; LONG-TERM SURVIVAL; PHOTODYNAMIC THERAPY; EARLY ADENOCARCINOMA; FOLLOW-UP; INTRAMUCOSAL ADENOCARCINOMA; INTRAEPITHELIAL NEOPLASIA; INTESTINAL METAPLASIA;
D O I
10.1016/j.athoracsur.2009.04.032
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The management of Barrett's esophagus with high-grade dysplasia is controversial. The standard of care has traditionally been esophagectomy. However, a number of treatment options aimed at esophageal preservation are increasingly being utilized by many centers. These esophageal-sparing approaches include endoscopic surveillance, mucosal ablation, and endoscopic mucosal resection. In this guideline we review the best evidence supporting these commonly used strategies for high-grade dysplasia to better define management and guide future investigation. (Ann Thorac Surg 2009; 87: 1993-2002) (C) 2009 by The Society of Thoracic Surgeons
引用
收藏
页码:1993 / 2002
页数:10
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