RESUMEN
Radiofrequency ablation (RFA) is an accepted treatment for the eradication of dysplastic Barrett's esophagus (DBE) and residual Barrett's esophagus after endoscopic resection of intramucosal adenocarcinoma. Circumferential balloon-based and focal catheter-based RFA devices are currently used (the Halo360 and Halo90). However, a new smaller focal ablation device (the Halo60) has been developed, which may be of benefit in patients with short tongues of Barrett's neoplasia, small residual islands, difficult anatomy, or strictures. We report the first use of this device in 17 patients with either DBE or residual Barrett's esophagus after endoscopic resection of intramucosal adenocarcinoma.
Asunto(s)
Adenocarcinoma/cirugía , Esófago de Barrett/cirugía , Ablación por Catéter , Neoplasias Esofágicas/cirugía , Esofagoscopios/tendencias , Esofagoscopía , Adenocarcinoma/etiología , Adenocarcinoma/patología , Anciano , Esófago de Barrett/complicaciones , Esófago de Barrett/patología , Ablación por Catéter/instrumentación , Ablación por Catéter/métodos , Ablación por Catéter/tendencias , Cateterismo/métodos , Catéteres , Diseño de Equipo , Neoplasias Esofágicas/etiología , Neoplasias Esofágicas/patología , Esofagoscopía/instrumentación , Esofagoscopía/métodos , Esofagoscopía/tendencias , Femenino , Humanos , Intubación Gastrointestinal/métodos , Masculino , Clasificación del Tumor , Resultado del TratamientoRESUMEN
The authors present results of examination and treatment of 272 patients with Zenker diverticulums of different localization. Features and problems in fibroesophagoscopy in patients with Zenker diverticulum are discussed. Surgical interventions with endoscopic assistance were fulfilled in 37 patients with diverticulum. A new way of endoscopic management of Zenker diverticulum using preparation "Disport" and the method of endoscopic incision of cricofaringeal muscle are proposed. Good clinical results of the treatment were obtained.