4.3 Article

Post-ablation buried neoplasia in Barrett's esophagus

Journal

SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY
Volume 56, Issue 5, Pages 624-628

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/00365521.2021.1896774

Keywords

Barrett’ s esophagus; subsquamous intestinal metaplasia; buried metaplasia; Barrett’ s dysplasia; high-grade dysplasia

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A patient with BE and high-grade dysplasia successfully treated by EET developed buried dysplastic BE during surveillance, highlighting the importance of close monitoring for such cases. A review of literature on buried dysplasia after successful endoscopic therapy of BE is also presented.
Endoscopic eradication therapy (EET) with maximal acid suppression is the cornerstone for the management of patients with Barrett's esophagus (BE) associated dysplasia. The occurrence of buried dysplastic glands after re-epithelialization of a neo-squamous epithelium is of concern for endoscopists. Here, we present a patient with BE and high-grade dysplasia successfully treated by EET who developed buried dysplastic BE during surveillance. A review of literature on buried dysplasia after successful endoscopic therapy of BE is also discussed.

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