Treatment of Barrett’s Esophagus With Hybrid Argon Plasma Coagulation: A Systematic Review and Meta-Analysis of Complete Remission of Intestinal Metaplasia and Stricture Formation Rates

Shah, Sagar; Chehade, Nabil El Hage; Truong, Alexa; Tavangar, Seyed Amirali; Choi, Alyssa Y.; Monachese, Marc; Samarasena, Jason

doi:10.1016/j.gie.2022.04.949

Cited by 2 publications

(1 citation statement)

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“…Overall, CE-IM was achieved by 89.6% of patients in a mean number of treatment sessions ranging from 1.2 to 2.7. Major complications occurred in 2.5% of cases, with an overall stricture rate of 1.3% [51].…”

Section: Argon Plasma Coagulationmentioning

confidence: 96%

What Is “Cold” and What Is “Hot” in Mucosal Ablation for Barrett’s Oesophagus-Related Dysplasia: A Practical Guide

Spadaccini

Alfarone

Chandrasekar

et al. 2023

Life

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Over the last two decades, endoscopic eradication therapy has been established as the therapeutic strategy of choice for patients with Barrett’s oesophagus-related dysplasia and early oesophageal adenocarcinoma. With a multimodal approach, ablative therapies have been highly effective in achieving remarkable eradication rates of metaplastic epithelium with an acceptable adverse event rate. Among ablative techniques, radiofrequency ablation is currently considered as the first-line option as its efficacy and safety are strongly supported by relevant data. Nevertheless, radiofrequency ablation is costly, and not universally available, or applicable to every situation. Moreover, primary failure and recurrence rates are not negligible. In the last few years, cryotherapy techniques and hybrid argon plasma coagulation have been increasingly assessed as potential novel ablative therapies. Preliminary data have been promising and suggest that they may even have a role as first-line options, alternatively to radiofrequency ablation. The aim of this review is to provide a practical guide for the ablation of Barrett’s oesophagus, with emphasis on the different ablative options.

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Section: Argon Plasma Coagulationmentioning

confidence: 96%