Endoscopic advances in the treatment of dysplastic Barrett oesophagus — should HALO be canonised or  do we need more evidence?

Jayasekera, Chatura S; Macrae, Finlay A; Desmond, Paul V; Taylor, Andrew C F

doi:10.5694/j.1326-5377.2011.tb02948.x

Topics

New ablative techniques can eradicate dysplastic Barrett oesophagus more effectively, but require longer-term follow-up to strengthen their evidence base

Barrett oesophagus is a precursor lesion that can progress to oesophageal adenocarcinoma. Barrett oesophagus affects about 1% of the population and is believed to be due to chronic gastro-oesophageal reflux disease.1 Patients with Barrett oesophagus have a 30–40-fold relative risk of developing oesophageal adenocarcinoma, which usually occurs via progression through low-grade dysplasia (LGD) to high-grade dysplasia (HGD).2

1 St Vincent’s Hospital, Melbourne, VIC.
2 Royal Melbourne Hospital, Melbourne, VIC.
3 Department of Medicine, University of Melbourne, Melbourne, VIC.

Correspondence: Chatura.jayasekera@svhm.org.au

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