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Barrett’s Esophagus Case Study 3: High-Grade Dysplasia
Background
A 66-year-old white male was diagnosed with Barrett’s esophagus. Endoscopy and biopsies showed an area of nodular high-grade dysplasia. At IESMG, he underwent endoscopic mucosal resection (EMR) of the nodular area with success. He is now considered for ablation of residual Barrett’s esophagus.
Treatment
Risks and benefits of ablative therapy for the remaining non-dysplastic Barrett’s esophagus were discussed with the patient. He underwent carbon dioxide based cryotherapy for the remaining Barrett’s.
Outcome
The patient underwent two sessions of cryotherapy. Complete eradication of Barrett’s esophagus was noted on follow-up examination. He continues to be in a surveillance program.
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- Barrett’s mucosa (blue arrows). Please note the location of the prior endoscopic mucosal resection (yellow arrow).
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- Application of probe-based spray cryotherapy for ablation of residual Barrett’s mucosa.
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- Follow-up examination post therapy. Normal esophageal lining is noted with complete resolution of Barrett’s esophagus.
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