Tratamiento endoscópico del Esófago de Barrett
Endoscopic management of Barrett ́s Esofagus
Palabras clave:
Esófago de Barrett, terapia de erradicación endoscópica
Resumen
El esófago de Barrett es un cambio en el revestimiento de la mucosa del esófago distal, mediante el cual el epitelio cilíndrico metaplásico reemplaza al epitelio escamoso del esófago. Este cambio representa una transformación mucosa premaligna que tiene una asociación conocida con el desarrollo de adenocarcinoma esofágico. La terapia de erradicación endoscópica se ha convertido en un estándar de atención para el tratamiento el esófago de Barrett displásico y las lesiones neoplásicas, consiste principalmente en la extirpación de cualquier lesión visible mediante resección endoscópica y la erradicación de toda la mucosa de Barrett remanente mediante ablación endoscópica.
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Citas
Shaheen NJ, Falk GW, Iyer PG, Souza RF, Yadlapati RH, Sauer BG, Wani S. Diagnosis and Management of Barrett's Esophagus: An Updated ACG Guideline. Am J Gastroenterol. 2022 Apr 1;117(4):559-587.
Martínez-Domínguez SJ, Lanas Á, Domper-Arnal MJ. Barrett's esophagus, towards improved clinical practice. Med Clin (Barc). 2022 Jul 22;159(2):92-100.
Barrett NR. Chronic peptic ulcer of the oesophagus and “oesophagitis.” Br J Surg 1950;38:175–82.
Qumseya BJ, Bukannan A, Gendy S, et al. Systematic review and metaanalysis of prevalence and risk factors for Barrett’s esophagus. Gastrointest Endosc 2019;90:707–17.
Katz PO, Dunbar KB, Schnoll-Sussman FH, et al. ACG clinical guideline: Guidelines for the diagnosis and management of gastroesophageal reflux disease. Am J Gastroenterol 2022;117(1):27–56.
Sharma P, Dent J, Armstrong D, et al. The development and validation of an endoscopic grading system for Barrett’s esophagus: The Prague C & M criteria. Gastroenterology 2006;131:1392–9.
Clermont M, Falk GW. Clinical guidelines update on the diagnosis and management of Barrett’s esophagus. Dig Dis Sci 2018;63:2122–8.
Shaheen NJ, Falk GW, Iyer PG, Souza RF, Yadlapati RH, Sauer BG, Wani S. Diagnosis and Management of Barrett's Esophagus: An Updated ACG Guideline. Am J Gastroenterol. 2022 Apr 1;117(4):559-587.
Qumseya BJ, Bukannan A, Gendy S, et al. Systematic review and metaanalysis of prevalence and risk factors for Barrett’s esophagus. Gastrointest Endosc 2019;90:707–17.
Qumseya BJ, Wani S, Desai M, et al. Adverse events after radiofrequency ablation in patients with Barrett’s esophagus: A systematic review and meta-analysis. Clin Gastroenterol Hepatol 2016;14:1086–95.
Sharma P, Shaheen NJ, Katzka D, Bergman JJGHM. AGA Clinical Practice Update on Endoscopic Treatment of Barrett's Esophagus With Dysplasia and/or Early Cancer: Expert Review. Gastroenterology. 2020 Feb;158(3):760-769.
Martínez-Domínguez SJ, Lanas Á, Domper-Arnal MJ. Barrett's esophagus, towards improved clinical practice. Med Clin (Barc). 2022 Jul 22;159(2):92-100.
Barrett NR. Chronic peptic ulcer of the oesophagus and “oesophagitis.” Br J Surg 1950;38:175–82.
Qumseya BJ, Bukannan A, Gendy S, et al. Systematic review and metaanalysis of prevalence and risk factors for Barrett’s esophagus. Gastrointest Endosc 2019;90:707–17.
Katz PO, Dunbar KB, Schnoll-Sussman FH, et al. ACG clinical guideline: Guidelines for the diagnosis and management of gastroesophageal reflux disease. Am J Gastroenterol 2022;117(1):27–56.
Sharma P, Dent J, Armstrong D, et al. The development and validation of an endoscopic grading system for Barrett’s esophagus: The Prague C & M criteria. Gastroenterology 2006;131:1392–9.
Clermont M, Falk GW. Clinical guidelines update on the diagnosis and management of Barrett’s esophagus. Dig Dis Sci 2018;63:2122–8.
Shaheen NJ, Falk GW, Iyer PG, Souza RF, Yadlapati RH, Sauer BG, Wani S. Diagnosis and Management of Barrett's Esophagus: An Updated ACG Guideline. Am J Gastroenterol. 2022 Apr 1;117(4):559-587.
Qumseya BJ, Bukannan A, Gendy S, et al. Systematic review and metaanalysis of prevalence and risk factors for Barrett’s esophagus. Gastrointest Endosc 2019;90:707–17.
Qumseya BJ, Wani S, Desai M, et al. Adverse events after radiofrequency ablation in patients with Barrett’s esophagus: A systematic review and meta-analysis. Clin Gastroenterol Hepatol 2016;14:1086–95.
Sharma P, Shaheen NJ, Katzka D, Bergman JJGHM. AGA Clinical Practice Update on Endoscopic Treatment of Barrett's Esophagus With Dysplasia and/or Early Cancer: Expert Review. Gastroenterology. 2020 Feb;158(3):760-769.
Publicado
2023-03-09
Cómo citar
Mengual-Moreno, E., & Lizarzábal-García, M. (2023). Tratamiento endoscópico del Esófago de Barrett: Endoscopic management of Barrett ́s Esofagus. Revista Profesional HígadoSano, (25), 25-29. https://doi.org/10.5281/zenodo.7714143
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