Banding Without Resection (Endoscopic Mucosal Ligation) as a Novel Approach for the Ablation of Short-Segment Barrett's Epithelium: Results of a Pilot Study

Diaz-Cervantes, Edgardo; De-la-Torre-Bravo, A.; Spechler, Stuart J.; Ernesto, Torres-Durazo; Sobrino-Cossío, Sergio; Martínez-Carrillo, O.; Gamboa-Robles, J.

doi:10.1111/j.1572-0241.2007.01256.x

Cited by 11 publications

(14 citation statements)

References 16 publications

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“…One pilot study prospectively evaluated EBL for the treatment of non-cirrhotic patients affected by shortsegment Barrett's oesophagus without dysplasia [5]. In this setting EBL was shown safe and effective, eradicating 97% of BE, with no major complications.…”

Section: Discussionmentioning

confidence: 99%

“…Cirrhotic patients with compensated disease or those considered for liver transplantation should have high risk BE addressed. Endoscopic band ligation (EBL) without mucosectomy may be an alternative treatment modality for non-dysplastic BE in selected cases [5]. Data on HGD-BE in cirrhosis is limited to small case series with minimal long term follow up [6].…”

Section: Introductionmentioning

confidence: 99%

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Management of high grade dysplasia in Barrett's oesophagus with underlying oesophageal varices: A retrospective study

Palmer

Leo

Jovani

et al. 2015

Digestive and Liver Disease

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of high grade dysplasia in Barrett's oesophagus with underlying oesophageal varices: A retrospective study

Palmer

Leo

Jovani

et al. 2015

Digestive and Liver Disease

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“…In fact, this patient has been included in the case series and after 61 months Impossible to introduce Duette multiband because of trismus; APC was applied. 2 After 18 months a new squamous cell carcinoma in thoracic esophagus appeared.…”

Section: Discussionmentioning

confidence: 99%

“…Autoamputation is a new effective technique described in UGI lesions such as subepithelial lesions (6,15), NETs (3)(4)(5) and Barrett esophagus without dysplasia (2). Endoscopic treatment in duodenal NETs with a size < 1 cm has been recommended (8), due to the low risk of metastasis.…”

Section: Discussionmentioning

confidence: 99%

“…The use of endoscopic band ligation (EBL) without electrocautery has been described for removal of Barrett's esophagus without dysplasia (2), duodenal carcinoids (3,4), duodenal gastrinoma (5), and leiomyomas of the upper gastrointestinal (UGI) tract (6). In fact, Schrerer et al (4) suggest that this method would be the best option to treat neuroendocrine tumors (NET) located in the duodenum.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic band ligation without resection in selected patients for small and superficial upper gastrointestinal tract lesions

Ibáñez‐Sanz¹,

Gornals²,

Rivas³

et al. 2016

Rev Esp Enferm Dig

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Background and aim:The aim of this study was to evaluate the efficacy of endoscopic band ligation (EBL) in carefully selected patients who would benefit from this method of resection.Methods: Patients with early upper gastrointestinal and small (< 15 mm) lesions treated with EBL (Duette® Multi-Band Mucosectomy) were prospectively recruited and retrospectively analyzed between 2010 and 2015. All cases were discussed in a multidisciplinary cancer committee and it was concluded that, owing to patient conditions, surgery was not possible and that not conducting histology would not change the clinical management. A first endoscopic control with biopsies was planned at 4-8 weeks.If there was no persistence of the lesion, new controls were programmed at 6 and 12 months.Results: The group (n = 12) included 5 esophagus lesions (adenosquamous carcinoma, n = 1; carcinoma squamous, n = 2; adenocarcinoma, n = 2); 4 gastric lesions (high grade dysplasia, n = 1; adenocarcinoma, n = 2; neuroendocrine tumor [NET], n = 1), and 3 duodenal lesions (NETs) (n = 3). The mean tumor diameter was 9.6 ± 2.8 mm (range 4-15). Only one minor adverse event was described. At first follow-up (4-8 weeks), there was 91.6% and 75% of endoscopic and histological remission, respectively. At 6-month follow-up there was 70% of both endoscopic remission and negative biopsies. And at 12 months, there was 100% and 75% of endoscopic and histological remission, respectively. Persisting lesions were T1 cancers. The median follow-up was 30.6 months.Conclusion: EBL without resection is an easy and safe technique that should be considered in patients with multiple morbidities and small superficial UGI lesions.

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Endoscopic Management of Upper Gastrointestinal Pathology in the Patient with Liver Disease

Lamont

Stanley

2017

Endoscopy in Liver Disease

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Banding Without Resection (Endoscopic Mucosal Ligation) as a Novel Approach for the Ablation of Short-Segment Barrett's Epithelium: Results of a Pilot Study

Abstract: BWR appears to be a safe, effective, simple, and widely available technique for eradicating SSBE. This is a pilot study and we do not recommend the ablation of nondysplastic BE at this time. Further studies are needed.

Cited by 11 publications

References 16 publications

Management of high grade dysplasia in Barrett's oesophagus with underlying oesophageal varices: A retrospective study

Management of high grade dysplasia in Barrett's oesophagus with underlying oesophageal varices: A retrospective study

Endoscopic band ligation without resection in selected patients for small and superficial upper gastrointestinal tract lesions

Endoscopic Management of Upper Gastrointestinal Pathology in the Patient with Liver Disease

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