Surgical Management of Barrett’s-Related Neoplasia - 16/11/20

Doi : 10.1016/j.giec.2020.09.003

Akshay Pratap, MD, MCh ^a, Martin D. McCarter, MD ^b,^⁎ , Thomas J. Watson, MD ^c
^a Department of Surgery, University of Colorado, Aurora, CO, USA
^b Department of Surgery, Division of Surgical Oncology, University of Colorado Denver, Academic Office One, L15-6106, 12631 East 17th Avenue, MS C325, Aurora, CO 80045, USA
^c Department of Surgery, MedStar Georgetown University Hospital, Georgetown University School of Medicine, 3900 Reservoir Road Northwest, Washington, DC 20007, USA

^∗Corresponding author.

Résumé

The management of Barrett’s-related neoplasia has benefited from advances in endoscopic assessment, resection, and ablation, along with improved pathologic and radiographic staging. The development of specialized, high-volume esophageal multidisciplinary teams, with improvements in patient selection, preparation, perioperative care, minimally invasive operative approaches, and enhanced recovery after surgery programs, has contributed to improved outcomes for patients undergoing esophagectomy for Barrett’s-related neoplasia.

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Keywords : Esophageal cancer, Esophagectomy, Barrett’s esophagus, High-grade dysplasia, Intramucosal carcinoma, Minimally invasive surgery