Argon plasma coagulation as therapy for high-grade dysplasia in Barrett's esophagus: A case report

Yıl 2008, Cilt: 7 Sayı: 1, 39 - 41, 01.04.2008

Serhat Bor Murat Gülşen İlker Turan Müge Tunçyürek Tahsin Tekeli Abdurrahman Kadayıfçı

Öz

Barrett's esophagus is a metaplastic columnar replacement of the normal squamous lower esophageal mucosa to intestinal metaplasia. Non-dysplastic metaplasia can progress to low-grade dysplasia, high-grade dysplasia, and finally to invasive cancer. Besides esophajectomy and antireflux therapy with intensive endoscopic surveillance, endoscopic ablation therapy is a new treatment modality for Barrett's esophagus with high-grade dysplasia. Herein, we report a case of Barrett's esophagus with high-grade dysplasia successfully treated with argon plasma coagulation.

Anahtar Kelimeler

Barrrett's esophagus, Dysplasia, Argon plasma coagulation

Barrett özofagusunda yüksek dereceli displazi tedavisinde argon plazma koagulasyon: Vaka sunumu

Öz

Barrett özofagusu alt özofagus mukozasındaki normal skuamöz mukozanı n intestinal metaplazi bulunan metaplastik kolumnar epitelle yer değiştirmesidir. Non-displastik metaplazi düşük dereceli displazi, yüksek dereceli displazi ve sonuçta invaziv kansere ilerleyebilir. Özofajektomi ve anti-reflü tedavi ile beraber yakın endoskopik takibin yanında, endoskopik ablasyon tedavileri yüksek dereceli displazi içeren Barrett özofagusunun tedavisinde yeni bir tedavi modalitesidir. Burada, argon plazma koagulasyon ile başarılı şekilde tedavi edilen yüksek dereceli displazili Barrett özofaguslu bir olgu sunulmuştur.

Anahtar Kelimeler

Barrret özofagus, displazi, argon plazma koagulasyon

Kaynakça

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