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DOI: 10.1055/s-2002-35295
Reflux Disease and Barrett’s Esophagus
Publication History
Publication Date:
13 November 2002 (online)
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Diagnostic Aspects of Reflux Disease
In a large study from Sweden, 3000 randomly selected persons were sent a questionnaire (response rate 71 %); endoscopy was performed in 1000 of them, regardless of symptoms (from 1566 invited). Forty-five percent of the responders reported reflux symptoms in the previous 3 months; asymptomatic reflux esophagitis was detected endoscopically in 5 % [1]. Two retrospective analyses, one from the United States and one from France, dealt with endoscopic findings in patients with reflux symptoms; despite the increasing use of proton-pump inhibitors (but not increasing to more than 18 %), the frequency of erosive esophagitis on endoscopy remained constant at around 20 % in the United States [2]. In France, 74 % of patients with gastroesophageal reflux disease (GERD) underwent endoscopy, with a rate of 38 % of erosive esophagitis and 8 % for Barrett’s [3]. In an attempt to make esophageal screening for patients with reflux easier, a short, battery-powered endoscope with a diameter of 4 mm was introduced, which can also be used by nurse practitioners, as shown in 111 patients [4]. When the same group compared findings obtained with this small endoscope introduced by nurse practitioners with standard video endoscopy performed by gastroenterologists in 43 cases, the sensitivity and specificity of all the esophageal findings were 74 % and 98 %, with slightly better values for Barrett’s esophagus [5]. In another study, decreasing the diameter of this endoscope further to 3mm was not found to increase patient tolerance [6].
In patients with esophagitis, the best classification system for severity is still being studied. Comparing the Savary-Miller and the Los Angeles classifications of gastroesophageal reflux (GERD) in 70 patients before and after proton-pump inhibitor (PPI) therapy, the healing rates (overall 86 %) did not significantly differ between the two classifications [7]. In another study, the reproducibility of the Savary-Miller, Los Angeles, and MUSE (mucosa, ulceration structure, and endoscopic appearance) classifications was tested in 60 patients, videotapes of whom were shown to nine investigators with various degrees of experience. The results showed that reproducibility was best with the MUSE classification, although the Los Angeles classification was somewhat easier to use [8]. The Hill classification of the gastroesophageal junction viewed in retroflexion was shown to correlate with endoscopic findings of esophagitis [9], but this classification is not widely used.
In patients with symptomatic GERD but no signs on endoscopy, subtle abnormalities can be seen on high-resolution magnification endoscopy. In a blinded assessment comparing patients with pathological 24-h pH-metry and normal control individuals, pinpoint vessels and triangular indentation of the esophagogastric junction were more frequent in reflux patients - but it is questionable whether these differences are sufficient for a reliable differential diagnosis to be made [10]. Histology is commonly believed to be of little value in endoscopy-negative GERD patients. In a study from Italy, intraepithelial infiltration by neutrophils and basal-cell hyperplasia were found more frequently in symptomatic patients than in controls [11], but this is not convincing evidence for a supplementary role of histology. DeMeester’s group in Los Angeles demonstrated that postprandial reflux after a standardized meal may increase the sensitivity of the standard 24-h pH-metry [12]. Intraesophageal stasis and intraesophageal reflux (not gastroesophageal reflux) seen on barium radiography were found very frequently in patients with GERD [13], but the clinical significance of this is not entirely clear.
References
- 1 Ronkainen J A, Aro P, Storskrubb T. et al . Prevalence of esophagitis and endoscopy-negative reflux disease in a population: a report from the Kalixanda study [abstract]. Gastroenterology. 2002; 122 A 213
- 2 Loftus C G, Haarewood G C, Romero Y. et al . Declining diagnostic utility of upper endoscopy in patients with gastroesophageal reflux disease [abstract]. Gastrointest Endosc. 2002; 55 AB 89
- 3 Bretagne J F, Rey J F, Caekaert A. et al . Observation of management of GERD in France by gastroenterologists: baseline data [abstract]. Gastroenterology. 2002; 122 A 584
- 4 Glenn T F, Wallace M B, Wildi S M. et al . Screening for Barrett’s in an unselected GERD population with a nurse practitioner using a battery-powered endoscope (BPE) [abstract]. Gastrointest Endosc. 2002; 55 AB 200
- 5 Wildi S M, Wallace M B, Glenn T F. et al . A comparison of diagnostic accuracy of esophagoscopy with a 4.0 mm battery-powered esophagoscope (BPE) by a nurse practitioner versus standard video-endoscopy (SVE) by a gastroenterologist [abstract]. Gastrointest Endosc. 2002; 55 AB 125
- 6 Catanzaro T, Faulx A L, Cooper G S. et al . Narrow diameter esophagoscopy: 3 mm or 4 mm? Fiberoptic or video? [abstract]. Gastrointest Endosc. 2002; 55 AB 93
- 7 Herszenyi L, Dobronte Z, Velosy B. et al . Comparison of Savary-Miller and Los Angeles classification of gastro-esophageal reflux disease: an interim analysis [abstract]. Gastroenterology. 2002; 122 A 582
- 8 Rath H C, Kunkel C, Endlicher E. et al . Comparison of different scoring systems to classify reflux esophagitis [abstract]. Gastrointest Endosc. 2002; 55 AB 89
- 9 Massey B T. Hill classification of the gastroesophageal junction: association with endoscopic findings of reflux disease [abstract]. Gastrointest Endosc. 2002; 55 AB 260
- 10 Tam W, Edebo A, Bruno M. et al . Endoscopy-negative reflux disease (ENRD): high-resolution endoscopic and histological signs [abstract]. Gastroenterology. 2002; 122 A 74
- 11 Zentilin P, Baccini P, Mele M R. et al . Re-evaluation of esophageal histology as a diagnostic tool in patient with GERD [abstract]. Gastroenterology. 2002; 122 A 581
- 12 Mason R J, DeMeester T, Banki F. et al . Postprandial gastroesophageal reflux after a standardized meal: a sensitive measurement for early reflux disease [abstract]. Gastrointest Endosc. 2002; 55 AB 258
- 13 Waite B K, Palmer R A, Taylor A J. et al . Intraesophageal reflux and intraesophageal stasis are distinct from gastroesophageal reflux as seen radiographically [abstract]. Gastrointest Endosc. 2002; 55 AB 257
- 14 Chen Y K, Raijman I, Ben-Menachem T. et al . One-year follow-up of endoluminal gastroplication (ELGP): clinical and economic outcomes of the U.S. multicenter trial [abstract]. Gastrointest Endosc. 2002; 55 AB 109
- 15 Raijman I. Helical endoluminal gastroplication (ELGP): assessment of esophageal function before and after procedure [abstract]. Gastrointest Endosc. 2002; 55 AB 261
- 16 Raijman I, Ben-Menachem T, Starpoli A A. et al . Endoluminal gastroplication (ELGP) improves GERD symptoms in patients with large hiatal hernias [abstract]. Gastrointest Endosc. 2002; 55 AB 255
- 17 Liu J J, Knapp R, Silk J. et al . Treatment of medication refractory gastroesophageal reflux disease with endoluminal gastroplication [abstract]. Gastrointest Endosc. 2002; 55 AB 257
- 18 Abou-Rebyeh H, Hoepffner N, Osmanoglu E. et al . Endoscopic suturing is able to reduce pathological acid reflux in gastro-esophageal reflux disease [abstract]. Gastrointest Endosc. 2002; 55 AB 259
- 19 Caca K, Schiefke I, Söder H. et al . Endoluminal gastroplication for gastroesophageal reflux disease [abstract]. Gastrointest Endosc. 2002; 55 AB 110
- 20 Arts J, Slootmakers S, Sifrim D. et al . Endoluminal gastroplication (Endocinch) in GERD patients refractory to PPI therapy [abstract]. Gastroenterology. 2002; 122 A 47-A 48
- 21 Mansell D E. Extended follow-up in patients treated with the Stretta procedure: a report on 29 patients [abstract]. Gastrointest Endosc. 2002; 55 AB 194
- 22 Liu J J, Knapp R M, Carr-Locke D L. The impact of anesthesiologist’s experience on endoluminal gastroplication (ELGP) [abstract]. Gastrointest Endosc. 2002; 55 AB 119
- 23 Mahmood Z, Byrne P J, McCullough J. et al . A comparison of Bard Endocinch transesophageal endoscopic plication (BETEP) with laparoscopic Nissen fundoplication (LNF) for the treatment of gastroesophageal reflux disease (GERD) [abstract]. Gastrointest Endosc. 2002; 55 AB 90
- 24 Spechler S J, Lee E, Ahnen D. et al . Long-term outcome of medical and surgical therapies for gastroesophageal reflux disease: follow-up of a randomized controlled trial. JAMA. 2001; 285 2331-2338
- 25 Lundell L, Miettinen P, Myrvold H E. et al . Continued (5-year) follow-up of a randomized clinical study comparing antireflux surgery and omeprazole in gastroesophageal reflux disease. J Am Coll Surg. 2001; 192 172-179
- 26 Feitoza A B, Gostout C J, Burgart L J. et al . Understanding endoluminal gastroplications: a histopathologic analysis of intraluminal suture plications [abstract]. Gastrointest Endosc. 2002; 55 AB 255
- 27 Lehman G A, Dunne D P, Hieston K. et al . Suturing plication of cardia with Endocinch device - effect of supplemental cautery: a human prospective randomized trial [abstract]. Gastrointest Endosc. 2002; 55 AB 260
- 28 Raijman I, Walters R, Garza C. et al . Helical endoluminal gastroplication (ELGP) compared with standard ELGP in patients with gastroesophageal reflux disease (GERD) [abstract]. Gastrointest Endosc. 2002; 55 AB 260
- 29 Noar M D, Knight S, Bidlack D. Long term experience with the Stretta procedure in medically refractory GERD patients: the first 14 months [abstract]. Gastrointest Endosc. 2002; 55 AB 255
- 30 Mavrelis P, Mirro J, Hurwich D. et al . Use of the Stretta procedure for the treatment of GERD: a community hospital experience [abstract]. Gastrointest Endosc. 2002; 55 AB 261
- 31 Tam W, Schoeman M, Dent J. et al . Control of reflux following radiofrequency energy (RFE) treatment in patients with gastroesophageal reflux disease (GERD): 12 months’ follow-up [abstract]. Gastroenterology. 2002; 122 A 47
- 32 Tam W, Holloway R, Dent J. et al . Impact of endoscopic suturing of the gastroesophageal junction on lower esophageal sphincter function and gastroesophageal reflux in patients with reflux disease [abstract]. Gastroenterology. 2002; 122 A 47
- 33 Wolfsen H C, Hemminger L L, Stark M E. et al . Resource utilization and procedure parameters for the Stretta procedure: comparison with diagnostic endosonography [abstract]. Gastrointest Endosc. 2002; 55 AB 256
- 34 Wolfsen H. Stretta procedure patient registry: gastroesophageal reflux disease (GERD) symptom scores, patient satisfaction and medication use in 590 patients [abstract]. Gastrointest Endosc. 2002; 55 AB 113
- 35 Noar M, Knight S, Bidlack D. A modified technique for endoluminal delivery of radiofrequency (RF) energy (Stretta) for the treatment of GERD in patients with failed fundoplication or large hiatal hernia [abstract]. Gastrointest Endosc. 2002; 55 AB 258
- 36 Corley D A, Katz P, Wo J. et al . Radiofrequency energy to the gastroesophageal junction for treatment of GERD (the Stretta procedure): a randomized, sham-controlled, multicenter clinical trial [abstract]. Gastrointest Endosc. 2002; 55 AB 100
- 37 Lehman G A, Aisenberg J, Cohen L B. et al . Enteryx solution, a minimally invasive injectable treatment for GERD: international multicenter trial results [abstract]. Gastrointest Endosc. 2002; 55 AB 101
- 38 Lehman G A, Aisenberg J, Cohen L B. et al . Improvement in esophageal pH probe studies after Enteryx therapy for GERD [abstract]. Gastrointest Endosc. 2002; 55 AB 89
- 39 Louis H, Voderholzer W, LeMoine O. et al . Lower esophageal sphincter function after endoscopic polymer injection for GERD treatment: short-term results [abstract]. Gastroenterology. 2002; 122 A 188
- 40 Fockens P, Costamagna G, Gabbrielli A. et al . Endoscopic augmentation of the lower esophageal sphincter (LES) for the treatment of GERD: multicenter study of the Gatekeeper reflux repair system [abstract]. Gastrointest Endosc. 2002; 55 AB 90
- 41 Fockens P, Bruno M J, Hirsch D P. et al . Endoscopic augmentation of the lower esophageal sphincter: pilot study of the gatekeeper reflux repair system in patients with GERD [abstract]. Gastrointest Endosc. 2002; 55 AB 257
- 42 Fockens P, Bruno M J, Boeckxstaens G E. et al . Endoscopic removal of the gatekeeper system prosthesis [abstract]. Gastrointest Endosc. 2002; 55 AB 260
- 43 Lehman G A, Watkin J L, Hieston K. et al . Endoscopic gastroesophageal reflux disease (GERD) therapy with gatekeeper system: initiation of a multicenter prospective randomized trial [abstract]. Gastrointest Endosc. 2002; 55 AB 261
- 44 Chuttani R, Sud R, Sachdev G. et al . Endoscopic full thickness plication for GERD: final results of human pilot study [abstract]. Gastrointest Endosc. 2002; 55 AB 258
- 45 Pasricha P J, Yusuf T, Deyo D. et al . Endoscopic valvuloplasty in a live animal model using a prototype anti-reflux device: the His-Wiz [abstract]. Gastrointest Endosc. 2002; 55 AB 259
- 46 Godin N. The GARD (gastro-esophageal anti-reflux device) for GERD - an office procedure: preliminary report [abstract]. Gastrointest Endosc. 2002; 55 AB 261
- 47 Weinstein W M, Leh W, Lewin K. et al . How often is short-segment Barrett’s esophagus proven histologically? A prospective study [abstract]. Gastroenterology. 2002; 122 A 293
- 48 Meining A, Ott R, Werner M. et al . What predicts goblet cell metaplasia at the esophagogastric junction? [abstract]. Gastrointest Endosc. 2002; 55 AB 201
- 49 Endlicher E, Ruemmele P, Beer S. et al . Endoscopic and histologic diagnosis of long and short Barrett’s esophagus [abstract]. Gastrointest Endosc. 2002; 55 AB 203
- 50 Seitz G, Vieth M, Stolte M. Does endoscopically negative Barrett’s mucosa really exist? [abstract]. Gastrointest Endosc. 2002; 55 AB 203
- 51 Seitz G, Stolte M, Vieth M. Barrett’s mucosa or intestinal metaplasia of cardia mucosa: a prospective study in 1000 patients [abstract]. Gastrointest Endosc. 2002; 55 AB 200
- 52 Gerson L B, Fass R, Fullerton H. et al . Prospective assessment of a symptom questionnaire to predict Barrett’s esophagus in patients with gastroesophageal reflux disease [abstract]. Gastrointest Endosc. 2002; 55 AB 93
- 53 Tam W, Ruskiewicz A, Dent J. et al . High-resolution magnification chromoendoscopy of esophageal specialized intestinal metaplasia with crystal violet [abstract]. Gastroenterology. 2002; 122 A 294
- 54 Park S H, Lee T K, Kim J I. et al . Comparison of iodine directed biopsies and conventional metaplasia in Barrett’s esophagus [abstract]. Gastrointest Endosc. 2002; 55 AB 201
- 55 Cedillo-Ley I, Lopez-Acosta M E, Rodriguez-Vanegas G. et al . Detection of short-segment Barrett’s esophagus using Lugol chromoendoscopy in patients with reflux symptoms [abstract]. Gastrointest Endosc. 2002; 55 AB 204
- 56 Rey J F, Lambert R. A Barrett’s esophagus pattern classification [abstract]. Gastrointest Endosc. 2002; 55 AB 203
- 57 Schilling D, Rosenbaum A, Rebel M. et al . Cytokeratin 7/20 immunoreactivity does not distinguish Barrett’s esophagus from gastric intestinal metaplasia [abstract]. Gastroenterology. 2002; 122 A 294
- 58 Going J J, Keith N W, Fletcher-Monaghan A J. et al . Zonation of mucosal phenotype and telomerase activity in Barrett’s esophagus [abstract]. Gastroenterology. 2002; 122 A 289-A 290
- 59 Brotze S A, McElhinney C, Weston A. et al . The prevalence of Barrett’s esophagus in patients with chronic gastro-esophageal reflux disease [abstract]. Gastrointest Endosc. 2002; 55 AB 203
- 60 Connor M J, Weston A, Mayo M S. et al . Prevalence of BE and EE in patients undergoing endoscopy for dyspepsia [abstract]. Gastrointest Endosc. 2002; 55 AB 199
- 61 Faulx A L, Brock W E, Veri L. et al . Unsedated esophagoscopy screening for Barrett’s esophagus (BE) in asymptomatic first-degree relatives [abstract]. Gastrointest Endosc. 2002; 55 AB 201
- 62 Brasseur C, Franchimont D P, Covas A. et al . Development of Barrett’s esophagus after total gastrectomy [abstract]. Gastroenterology. 2002; 122 A 294
- 63 Dulai G S, Jensen D M, Chen J. et al . Cancer risk, EGD biopsy workload and reporting in a population-based VA Barrett’s cohort [abstract]. Gastroenterology. 2002; 122 A 292
- 64 Campbell E, Eason A, Hamaad A. et al . Has the risk of adenocarcinoma in Barrett’s esophagus been exaggerated? [abstract]. Gastroenterology. 2002; 122 A 292
- 65 Gerson L B, Triadafilopoulos G. A cost-effectiveness analysis of screening for Barrett’s esophagus in patients with chronic gastroesophageal reflux disease [abstract]. Gastrointest Endosc. 2002; 55 AB 158
- 66 Inadomi J M, Sampliner R, Lagergren J. et al . Cost-effectiveness of screening and surveillance for Barrett’s esophagus: more targeted screening, less surveillance [abstract]. Gastroenterology. 2002; 122 A 287-A 288
- 67 Provenzale D, Fisher D A. Quality of life of Barrett’s patients enrolled in surveillance programs: implication for clinical decision-making [abstract]. Gastroenterology. 2002; 122 A 18
- 68 Tumbapura A P, Sandhu I S, Bjorkman D. et al . Prevalence of hiatal hernia in patients with esophageal adenocarcinoma [abstract]. Gastrointest Endosc. 2002; 55 AB 225
- 69 Stuart R C, McKernan M, Neilson L. et al . Endoscopic surveillance in Barrett’s esophagus: a structured biopsy protocol increases dysplasia detection [abstract]. Gastrointest Endosc. 2002; 55 AB 202
- 70 Sharma P, Falk G, Weston A. et al . Natural history of low-grade dysplasia, an infrequent finding which usually regresses: preliminary results from the Barrett’s esophagus study [abstract]. Gastroenterology. 2002; 122 A 20
- 71 Kastrinos F, Banner B, Nompleggi D J. Natural history of low-grade dysplasia in Barrett’s esophagus at a tertiary care medical center [abstract]. Gastroenterology. 2002; 122 A 294
- 72 Pacifico R, Wang K, Molckovsky A. et al . Biopsy strategies in Barrett’s esophagus: which is the best for detecting high-grade dysplasia? [abstract]. Gastroenterology. 2002; 122 A 57
- 73 Dar M, Gramlich T, Richter J. et al . Endoscopic brush cytology in Barrett’s esophagus surveillance: highly specific but less sensitive than previously reported [abstract]. Gastrointest Endosc. 2002; 55 AB 200
- 74 Lutzke L, Pacifico R, Wang K. et al . Digital image analysis and brush cytology is better than cytology alone for detection of Barrett’s esophagus with high-grade dysplasia [abstract]. Gastroenterology. 2002; 122 A 289
- 75 Krishnadath S, Wang K, Halling K. et al . Detection of cytogenetic abnormalities by multi-color FISH in brush cytology specimens of Barrett’s esophagus [abstract]. Gastroenterology. 2002; 122 A 289
- 76 Banerjee B, Chandrasekhar H R. Selective use of a single autofluorescence emission ratio in Barrett’s esophagus [abstract]. Gastrointest Endosc. 2002; 55 AB 201
- 77 Skacel M, Gramlich T, Fahmy M. et al . Fluorescence in-situ hybridization (FISH) of cytologic specimens from Barrett’s esophagus and adenocarcinoma: a pilot feasibility study [abstract]. Gastrointest Endosc. 2002; 55 AB 199
- 78 Brabender J, Marjoram P, Metzger R. et al . A multigene expression panel for the molecular diagnosis of Barrett’s cancers [abstract]. Gastroenterology. 2002; 122 A 16-A 17
- 79 Mullick T, Tasch J E, Ormsby A H. et al . High telomerase expression in Barrett’s esophagus without dysplasia predicts progression to esophageal adenocarcinoma [abstract]. Gastroenterology. 2002; 122 A 56-A 57
- 80 Wong Kee Song L M, Molckovsky A, Wang K. et al . Raman spectroscopy for in vivo classification of Barrett’s tissue [abstract]. Gastroenterology. 2002; 122 A 288
- 81 Burdick S, Dykes C M, Lindberg G. et al . Utilization of chromoendoscopy to identify dysplasia in Barrett’s esophagus [abstract]. Gastrointest Endosc. 2002; 55 AB 200
- 82 Gossner L, May A, Stolte M. et al . Methylene blue staining for the detection of dysplasia or mucosal cancer in Barrett’s esophagus: a prospective trial [abstract]. Gastrointest Endosc. 2002; 55 AB 199
- 83 Ragunath K, Raman V S, Haqqani M. et al . Methylene blue chromoendoscopy in Barrett’s oesophagus [abstract]. Gastroenterology. 2002; 122 A 289
- 84 Ortner M AE, Voderholzer W, Ebert B. et al . Fluorescence imaging and white light endoscopy system with fluorescence spectroscopy are complementary methods in detecting malignant lesions in Barrett’s esophagus [abstract]. Gastroenterology. 2002; 122 A 31
- 85 Clarke A, Hilman L, Chiragakis L. et al . Proton pump inhibitor therapy delays the development of dysplasia in patients with Barrett’s esophagus [abstract]. Gastroenterology. 2002; 122 A 293
- 86 Corey K E, Schmitz S M, Shaheen N J. Does a surgical anti-reflux procedure decrease the incidence of esophageal adenocarcinoma in Barrett’s esophagus? A meta-analysis [abstract]. Gastroenterology. 2002; 122 A 292
- 87 May A, Gossner L, Pech O. et al . Acute-phase and long-term of local endoscopic therapy for intraepithelial high-grade neoplasia and early adenocarcinoma in Barrett’s esophagus [abstract]. Gastroenterology. 2002; 122 A 287
- 88 Pacifico R, Wang K, Wong K ee. et al . Endoscopic therapy versus esophagectomy for early stage Barrett’s adenocarcinoma [abstract]. Gastrointest Endosc. 2002; 55 AB 94
- 89 Hage M, van Dekken H, Vissers C J. et al . Molecular evidence for complete reversal of Barrett’s esophagus with high-grade dysplasia following argon plasma coagulation alone or in combination with photodynamic therapy [abstract]. Gastrointest Endosc. 2002; 55 AB 206
- 90 Lee S K, Bhagat G, Memeo L. et al . Endoscopic mucosal resection of polypoid lesions in Barrett’s esophagus [abstract]. Gastrointest Endosc. 2002; 55 AB 204
- 91 Giovannini M, Bories E, Monges G. Treatment of high-grade dysplasia and in situ carcinoma on Barrett’s esophagus using endoscopic mucosal resection: results and outcomes in 22 patients [abstract]. Gastrointest Endosc. 2002; 55 AB 206
- 92 Deinert K, Schumacher B, Preiss C. et al . Endoscopic mucosal resection cap procedure (EMCR) for early neoplastic Barrett’s esophagus [abstract]. Gastrointest Endosc. 2002; 55 AB 208
- 93 Bergman J J, Fockens P, van Lanschot J JB. et al . Endoscopic mucosal resection (EMR) for intramucosal neoplasia in Barrett’s esophagus [abstract]. Gastrointest Endosc. 2002; 55 AB 206
- 94 Wang K, Wong K ee, Buttar N. et al . Long-term follow-up after photodynamic therapy (PDT) for Barrett’s esophagus [abstract]. Gastrointest Endosc. 2002; 55 AB 100
- 95 Wolfsen H C. Photodynamic therapy for dysplastic Barrett’s esophagus and mucosal esophageal adenocarcinoma [abstract]. Gastrointest Endosc. 2002; 55 AB 206
- 96 Beejay U, Christodoulou D, Rasul I. et al . Photodynamic therapy of high-grade dysplasia/intramucosal carcinoma in Barrett’s esophagus: 38 months’ follow-up [abstract]. Gastrointest Endosc. 2002; 55 AB 208
- 97 Phan M N, Overholt B F, Panjehpour M. et al . Photodynamic therapy for high grade dysplasia in Barrett’s esophagus using an improved light delivery balloon [abstract]. Gastroenterology. 2002; 122 A 351
- 98 Schembre D. Photodynamic therapy for premalignant lesions of the esophagus: interim results of initial 26 cases [abstract]. Gastrointest Endosc. 2002; 55 AB 207
- 99 Jamieson N, Thorpe S, Bown S G. et al . Optimizing of PDT for dysplastic Barrett’s esophagus remains a challenge [abstract]. Gastrointest Endosc. 2002; 55 AB 207
- 100 Michopoulos S, Sotiropoulou M, Petraki K. et al . Long-term follow-up of Barrett’s esophagus after ablation with heat-probe [abstract]. Gastrointest Endosc. 2002; 55 AB 208
- 101 Dulai G S, Jensen D M, Weinstein W M. et al . Randomized trial of APC vs. MPEC for ablation of Barrett’s esophagus [abstract]. Gastrointest Endosc. 2002; 55 AB 204
- 102 Enns R A, McDougall B, Kooner H. et al . Prospective randomized trial of argon plasma coagulation versus multipolar electrocoagulation in the ablation of Barrett’s esophagus without dysplasia: preliminary results [abstract]. Gastrointest Endosc. 2002; 55 AB 94
- 103 Van de Vrie W, Hage M, Gabeler E EE. et al . Endoscopic ablation of Barrett’s esophagus with photodynamic therapy and argon plasma coagulation: a dose-finding study [abstract]. Gastrointest Endosc. 2002; 55 AB 207
- 104 Seewald S, Brand B, Seitz U. et al . Extensive and circumferential endoscopic mucosa resection as the management of high-grade dysplasia and intramucosal carcinoma in long-segment Barrett esophagus with nonvisible endoscopic lesion [abstract]. Gastrointest Endosc. 2002; 55 AB 205
- 105 May A, Gossner L, Behrens A. et al . Suck and cut mucosectomy in early esophageal carcinomas - ligation device versus Inoue cap: a prospective comparison in 100 resections [abstract]. Gastrointest Endosc. 2002; 55 AB 113
- 106 Pacifico R, Wang K, Buttar N. et al . Comparison of endoscopic mucosal resection techniques in Barrett’s esophagus [abstract]. Gastrointest Endosc. 2002; 55 AB 94
- 107 Hur C, Gazelle S, Nishioka N S. Cost-effectiveness of photodynamic therapy for the treatment of Barrett’s esophagus with high-grade dysplasia [abstract]. Gastrointest Endosc. 2002; 55 AB 160
- 108 Stein H J, Feith M, Mueller J. et al . Limited resection for early adenocarcinoma in Barrett’s esophagus. Ann Surg. 2000; 232 733-742
- 109 Pinotti A, Maluf-Filho F, Cecconello I. et al . Endoscopic ablation of Barrett’s esophagus using argon plasma coagulation (APC) after surgical treatment of reflux [abstract]. Gastrointest Endosc. 2002; 55 AB 208
- 110 Kelty C, Ackroyd R, Brown N. et al . Photodynamic therapy (PDT) for Barrett’s esophagus: establishing the optimum dose 5-aminolevulinic acid (ALA) [abstract]. Gastrointest Endosc. 2002; 55 AB 204
- 111 Long P, Fuchs K, Freeman L. et al . Esophageal healing following application of a novel bipolar electrocoagulation device [abstract]. Gastrointest Endosc. 2002; 55 AB 207
- 112 Fuchs K, Freeman L, Long P. et al . A novel technique of esophageal mucosal ablation: comparison between a new bipolar device and argon plasma coagulation [abstract]. Gastrointest Endosc. 2002; 55 AB 205
- 113 Fleischer D E. The Stretta procedure: technique optimization and complication rates [abstract]. Gastrointest Endosc. 2002; 55 AB 256
T. Rösch, M.D.
Deptartment of Internal Medicine II, Klinikum rechts der Isar, Technical University of Munich
Ismaningerstrasse 22 · 81675 Munich · Germany
Fax: + 49-89-4140-4872 ·
Email: Thomas.Roesch@lrz.tu-muenchen.de