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Hépato-Gastro. Volume 18, Number 1, 76-87, Mars 2011, Dossier thématique : Endobrachyœsophage

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Author(s) : Michel Robaszkiewicz, Emmanuel Coron

Summary : The development of therapeutic endoscopy can now offer an effective alternative to esophagectomy in Barrett patients with high-grade dysplasia or early carcinoma. Endoscopic treatment has to be complete and only lesions with a low-risk of lymph node involvement (high-grade dysplasia and intramucosal carcinomas) can be treated endoscopically with a curative intent. The risk of progression of dysplastic lesions within the Barrett's esophagus justifies the eradication of all the residual mucosa\; thus, approaches combining techniques of resection of visible abnormalities and ablation techniques are currently recommended.

Keywords : Barrett's esophagus, dysplasia, adenocarcinoma, treatment