Preferred surgical treatment for Barrett esophagus

Janusz Jankowski

Which of the available surgical treatment options in patients with Barrett esophagus is the preferred one?

Janusz Jankowski, MD, PhD: The most experience is definitely around endoscopic mucosal resection, simply because you can have the best histological biopsy, the so-called big biopsy, to give to the pathologist, and that can properly stage the disease. Actually, it is proving quite effective to use radiofrequency ablation in several centers. But certainly the evidence is that you should use endoscopic mucosal resection for the main lesion if it is visible and radiofrequency ablation for nonvisible lesions.

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