Surgical and Endoscopic Therapy for the Columnar-Lined Esophagus

Robert M Van Haren, Wayne L. Hofstetter

Key Points

  • Endoscopic surveillance and management is dependent upon on the presence and degree of dysplasia
  • Ablative techniques such as radiofrequency ablation effectively eradicate dysplasia and metaplasia
  • Endoscopic resection can safely treat esophageal adenocarcinoma limited to the mucosa
  • Esophagectomy is no longer considered standard of care for high-grade dysplasia and intramucosal carcinomas

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Last updated: January 3, 2020