Barrett’s oesophagus: long‐term follow‐up after complete ablation with argon plasma coagulation and the factors that determine its recurrence
Summary Background Argon plasma coagulation seems to be a promising technique for ablation of Barrett’s oesophagus, yet few long‐term efficacy data are available. Aim To report on a long‐term follow‐up and the factors that determine the recurrence of intestinal metaplasia in a cohort of patients wit...
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| Veröffentlicht in: | Alimentary pharmacology & therapeutics 2007-04, Vol.25 (7), p.835-840 |
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| creator | FERRARIS, R. FRACCHIA, M. FOTI, M. SIDOLI, L. TARAGLIO, S. VIGANO’, L. GIACCONE, C. REBECCHI, F. MEINERI, G. SENORE, C. PERA, A. |
| description | Summary
Background
Argon plasma coagulation seems to be a promising technique for ablation of Barrett’s oesophagus, yet few long‐term efficacy data are available.
Aim
To report on a long‐term follow‐up and the factors that determine the recurrence of intestinal metaplasia in a cohort of patients with non dysplastic, intestinal type Barrett’s oesophagus, after complete ablation of the metaplastic mucosa with argon plasma coagulation.
Methods
Ninety‐six patients underwent endoscopic argon plasma coagulation with adequate acid suppression obtained through a continuous omeprazole therapy (50 patients) or through laparoscopic fundoplication (46 patients). Complete ablation was achieved in 94 patients who underwent follow‐up. Endoscopic and histological examinations were performed every 12 months.
Results
The median follow‐up of the patients was 36 months (range 18–98). A recurrence of intestinal metaplasia was found in 17 patients (18%), with an annual recurrence rate of 6.1%. Neither dysplasia, nor adenocarcinoma were found during the follow‐up. Through the use of logistic regression analysis, previous laparoscopic fundoplication was associated with a reduced recurrence rate of intestinal metaplasia (odds ratio 0.30, 95% confidence interval 0.10–0.93).
Conclusions
The long‐term recurrence of intestinal type Barrett’s oesophagus was low after complete ablation with argon plasma coagulation. The control of oesophageal acidity acid exposure with laparoscopic fundoplication seems to reduce the recurrence rate. |
| doi_str_mv | 10.1111/j.1365-2036.2007.03251.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70296435</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>70296435</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4471-822c1097679ac7e864caa99ffb9560f6fb7620da68d70538f683a4161160a5663</originalsourceid><addsrcrecordid>eNqNkc1u1DAQxy0EokvhFZAvcEvwR2InSBxKxZdUCQ7lbM069m5WThxsR9ve-ghInHi9PgkOG9ErvnjG85vx6P9HCFNS0nzeHErKRV0wwkXJCJEl4aym5c0jtPlXeIw2hIm2YA3lZ-hZjAdCiJCEPUVnVHLJW8Y26Nd7CMGkdH_3O2Jvop_2sJvjW-z8uLu_-5lMGLD1zvljzuYJg81PWPthciYZDFsHqfcjPvZpjyHscjg5iANkJk9aqzB2OO0NtqCTDzHHkHBnlun9aHCfIg5Gz3mVUZvn6IkFF82L9T5H3z9-uL78XFx9_fTl8uKq0FUladEwpilppZAtaGkaUWmAtrV229aCWGG3UjDSgWg6SWreWNFwqKigVBCoheDn6PVp7hT8j9nEpIY-auMcjMbPUWWtWlHxOoPNCdTBxxiMVVPoBwi3ihK1GKIOatFdLbqrxRD11xB1k1tfrn_M28F0D42rAxl4tQIQNTgbYNR9fOCaumloTTP37sQde2du_3sBdfHteon4H4Jaq8k</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70296435</pqid></control><display><type>article</type><title>Barrett’s oesophagus: long‐term follow‐up after complete ablation with argon plasma coagulation and the factors that determine its recurrence</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Wiley Online Library Free Content</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>FERRARIS, R. ; FRACCHIA, M. ; FOTI, M. ; SIDOLI, L. ; TARAGLIO, S. ; VIGANO’, L. ; GIACCONE, C. ; REBECCHI, F. ; MEINERI, G. ; SENORE, C. ; PERA, A.</creator><creatorcontrib>FERRARIS, R. ; FRACCHIA, M. ; FOTI, M. ; SIDOLI, L. ; TARAGLIO, S. ; VIGANO’, L. ; GIACCONE, C. ; REBECCHI, F. ; MEINERI, G. ; SENORE, C. ; PERA, A. ; Gruppo Operativo Studio Precancerosi Esofagee ; GRUPPO OPERATIVO STUDIO PRECANCEROSI ESOFAGEE</creatorcontrib><description>Summary
Background
Argon plasma coagulation seems to be a promising technique for ablation of Barrett’s oesophagus, yet few long‐term efficacy data are available.
Aim
To report on a long‐term follow‐up and the factors that determine the recurrence of intestinal metaplasia in a cohort of patients with non dysplastic, intestinal type Barrett’s oesophagus, after complete ablation of the metaplastic mucosa with argon plasma coagulation.
Methods
Ninety‐six patients underwent endoscopic argon plasma coagulation with adequate acid suppression obtained through a continuous omeprazole therapy (50 patients) or through laparoscopic fundoplication (46 patients). Complete ablation was achieved in 94 patients who underwent follow‐up. Endoscopic and histological examinations were performed every 12 months.
Results
The median follow‐up of the patients was 36 months (range 18–98). A recurrence of intestinal metaplasia was found in 17 patients (18%), with an annual recurrence rate of 6.1%. Neither dysplasia, nor adenocarcinoma were found during the follow‐up. Through the use of logistic regression analysis, previous laparoscopic fundoplication was associated with a reduced recurrence rate of intestinal metaplasia (odds ratio 0.30, 95% confidence interval 0.10–0.93).
Conclusions
The long‐term recurrence of intestinal type Barrett’s oesophagus was low after complete ablation with argon plasma coagulation. The control of oesophageal acidity acid exposure with laparoscopic fundoplication seems to reduce the recurrence rate.</description><identifier>ISSN: 0269-2813</identifier><identifier>EISSN: 1365-2036</identifier><identifier>DOI: 10.1111/j.1365-2036.2007.03251.x</identifier><identifier>PMID: 17373922</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Barrett Esophagus - surgery ; Biological and medical sciences ; Digestive system ; Esophagus ; Esophagus - pathology ; Female ; Follow-Up Studies ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Laser Coagulation - methods ; Male ; Medical sciences ; Metaplasia ; Middle Aged ; Other diseases. Semiology ; Pharmacology. Drug treatments ; Secondary Prevention ; Treatment Outcome</subject><ispartof>Alimentary pharmacology & therapeutics, 2007-04, Vol.25 (7), p.835-840</ispartof><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4471-822c1097679ac7e864caa99ffb9560f6fb7620da68d70538f683a4161160a5663</citedby><cites>FETCH-LOGICAL-c4471-822c1097679ac7e864caa99ffb9560f6fb7620da68d70538f683a4161160a5663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2036.2007.03251.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2036.2007.03251.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18588151$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17373922$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FERRARIS, R.</creatorcontrib><creatorcontrib>FRACCHIA, M.</creatorcontrib><creatorcontrib>FOTI, M.</creatorcontrib><creatorcontrib>SIDOLI, L.</creatorcontrib><creatorcontrib>TARAGLIO, S.</creatorcontrib><creatorcontrib>VIGANO’, L.</creatorcontrib><creatorcontrib>GIACCONE, C.</creatorcontrib><creatorcontrib>REBECCHI, F.</creatorcontrib><creatorcontrib>MEINERI, G.</creatorcontrib><creatorcontrib>SENORE, C.</creatorcontrib><creatorcontrib>PERA, A.</creatorcontrib><creatorcontrib>Gruppo Operativo Studio Precancerosi Esofagee</creatorcontrib><creatorcontrib>GRUPPO OPERATIVO STUDIO PRECANCEROSI ESOFAGEE</creatorcontrib><title>Barrett’s oesophagus: long‐term follow‐up after complete ablation with argon plasma coagulation and the factors that determine its recurrence</title><title>Alimentary pharmacology & therapeutics</title><addtitle>Aliment Pharmacol Ther</addtitle><description>Summary
Background
Argon plasma coagulation seems to be a promising technique for ablation of Barrett’s oesophagus, yet few long‐term efficacy data are available.
Aim
To report on a long‐term follow‐up and the factors that determine the recurrence of intestinal metaplasia in a cohort of patients with non dysplastic, intestinal type Barrett’s oesophagus, after complete ablation of the metaplastic mucosa with argon plasma coagulation.
Methods
Ninety‐six patients underwent endoscopic argon plasma coagulation with adequate acid suppression obtained through a continuous omeprazole therapy (50 patients) or through laparoscopic fundoplication (46 patients). Complete ablation was achieved in 94 patients who underwent follow‐up. Endoscopic and histological examinations were performed every 12 months.
Results
The median follow‐up of the patients was 36 months (range 18–98). A recurrence of intestinal metaplasia was found in 17 patients (18%), with an annual recurrence rate of 6.1%. Neither dysplasia, nor adenocarcinoma were found during the follow‐up. Through the use of logistic regression analysis, previous laparoscopic fundoplication was associated with a reduced recurrence rate of intestinal metaplasia (odds ratio 0.30, 95% confidence interval 0.10–0.93).
Conclusions
The long‐term recurrence of intestinal type Barrett’s oesophagus was low after complete ablation with argon plasma coagulation. The control of oesophageal acidity acid exposure with laparoscopic fundoplication seems to reduce the recurrence rate.</description><subject>Adult</subject><subject>Aged</subject><subject>Barrett Esophagus - surgery</subject><subject>Biological and medical sciences</subject><subject>Digestive system</subject><subject>Esophagus</subject><subject>Esophagus - pathology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Laser Coagulation - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metaplasia</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>Pharmacology. Drug treatments</subject><subject>Secondary Prevention</subject><subject>Treatment Outcome</subject><issn>0269-2813</issn><issn>1365-2036</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1u1DAQxy0EokvhFZAvcEvwR2InSBxKxZdUCQ7lbM069m5WThxsR9ve-ghInHi9PgkOG9ErvnjG85vx6P9HCFNS0nzeHErKRV0wwkXJCJEl4aym5c0jtPlXeIw2hIm2YA3lZ-hZjAdCiJCEPUVnVHLJW8Y26Nd7CMGkdH_3O2Jvop_2sJvjW-z8uLu_-5lMGLD1zvljzuYJg81PWPthciYZDFsHqfcjPvZpjyHscjg5iANkJk9aqzB2OO0NtqCTDzHHkHBnlun9aHCfIg5Gz3mVUZvn6IkFF82L9T5H3z9-uL78XFx9_fTl8uKq0FUladEwpilppZAtaGkaUWmAtrV229aCWGG3UjDSgWg6SWreWNFwqKigVBCoheDn6PVp7hT8j9nEpIY-auMcjMbPUWWtWlHxOoPNCdTBxxiMVVPoBwi3ihK1GKIOatFdLbqrxRD11xB1k1tfrn_M28F0D42rAxl4tQIQNTgbYNR9fOCaumloTTP37sQde2du_3sBdfHteon4H4Jaq8k</recordid><startdate>200704</startdate><enddate>200704</enddate><creator>FERRARIS, R.</creator><creator>FRACCHIA, M.</creator><creator>FOTI, M.</creator><creator>SIDOLI, L.</creator><creator>TARAGLIO, S.</creator><creator>VIGANO’, L.</creator><creator>GIACCONE, C.</creator><creator>REBECCHI, F.</creator><creator>MEINERI, G.</creator><creator>SENORE, C.</creator><creator>PERA, A.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200704</creationdate><title>Barrett’s oesophagus: long‐term follow‐up after complete ablation with argon plasma coagulation and the factors that determine its recurrence</title><author>FERRARIS, R. ; FRACCHIA, M. ; FOTI, M. ; SIDOLI, L. ; TARAGLIO, S. ; VIGANO’, L. ; GIACCONE, C. ; REBECCHI, F. ; MEINERI, G. ; SENORE, C. ; PERA, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4471-822c1097679ac7e864caa99ffb9560f6fb7620da68d70538f683a4161160a5663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Barrett Esophagus - surgery</topic><topic>Biological and medical sciences</topic><topic>Digestive system</topic><topic>Esophagus</topic><topic>Esophagus - pathology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Laser Coagulation - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metaplasia</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Pharmacology. Drug treatments</topic><topic>Secondary Prevention</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FERRARIS, R.</creatorcontrib><creatorcontrib>FRACCHIA, M.</creatorcontrib><creatorcontrib>FOTI, M.</creatorcontrib><creatorcontrib>SIDOLI, L.</creatorcontrib><creatorcontrib>TARAGLIO, S.</creatorcontrib><creatorcontrib>VIGANO’, L.</creatorcontrib><creatorcontrib>GIACCONE, C.</creatorcontrib><creatorcontrib>REBECCHI, F.</creatorcontrib><creatorcontrib>MEINERI, G.</creatorcontrib><creatorcontrib>SENORE, C.</creatorcontrib><creatorcontrib>PERA, A.</creatorcontrib><creatorcontrib>Gruppo Operativo Studio Precancerosi Esofagee</creatorcontrib><creatorcontrib>GRUPPO OPERATIVO STUDIO PRECANCEROSI ESOFAGEE</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Alimentary pharmacology & therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FERRARIS, R.</au><au>FRACCHIA, M.</au><au>FOTI, M.</au><au>SIDOLI, L.</au><au>TARAGLIO, S.</au><au>VIGANO’, L.</au><au>GIACCONE, C.</au><au>REBECCHI, F.</au><au>MEINERI, G.</au><au>SENORE, C.</au><au>PERA, A.</au><aucorp>Gruppo Operativo Studio Precancerosi Esofagee</aucorp><aucorp>GRUPPO OPERATIVO STUDIO PRECANCEROSI ESOFAGEE</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Barrett’s oesophagus: long‐term follow‐up after complete ablation with argon plasma coagulation and the factors that determine its recurrence</atitle><jtitle>Alimentary pharmacology & therapeutics</jtitle><addtitle>Aliment Pharmacol Ther</addtitle><date>2007-04</date><risdate>2007</risdate><volume>25</volume><issue>7</issue><spage>835</spage><epage>840</epage><pages>835-840</pages><issn>0269-2813</issn><eissn>1365-2036</eissn><abstract>Summary
Background
Argon plasma coagulation seems to be a promising technique for ablation of Barrett’s oesophagus, yet few long‐term efficacy data are available.
Aim
To report on a long‐term follow‐up and the factors that determine the recurrence of intestinal metaplasia in a cohort of patients with non dysplastic, intestinal type Barrett’s oesophagus, after complete ablation of the metaplastic mucosa with argon plasma coagulation.
Methods
Ninety‐six patients underwent endoscopic argon plasma coagulation with adequate acid suppression obtained through a continuous omeprazole therapy (50 patients) or through laparoscopic fundoplication (46 patients). Complete ablation was achieved in 94 patients who underwent follow‐up. Endoscopic and histological examinations were performed every 12 months.
Results
The median follow‐up of the patients was 36 months (range 18–98). A recurrence of intestinal metaplasia was found in 17 patients (18%), with an annual recurrence rate of 6.1%. Neither dysplasia, nor adenocarcinoma were found during the follow‐up. Through the use of logistic regression analysis, previous laparoscopic fundoplication was associated with a reduced recurrence rate of intestinal metaplasia (odds ratio 0.30, 95% confidence interval 0.10–0.93).
Conclusions
The long‐term recurrence of intestinal type Barrett’s oesophagus was low after complete ablation with argon plasma coagulation. The control of oesophageal acidity acid exposure with laparoscopic fundoplication seems to reduce the recurrence rate.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17373922</pmid><doi>10.1111/j.1365-2036.2007.03251.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0269-2813 |
| ispartof | Alimentary pharmacology & therapeutics, 2007-04, Vol.25 (7), p.835-840 |
| issn | 0269-2813 1365-2036 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Online Library Free Content; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Aged Barrett Esophagus - surgery Biological and medical sciences Digestive system Esophagus Esophagus - pathology Female Follow-Up Studies Gastroenterology. Liver. Pancreas. Abdomen Humans Laser Coagulation - methods Male Medical sciences Metaplasia Middle Aged Other diseases. Semiology Pharmacology. Drug treatments Secondary Prevention Treatment Outcome |
| title | Barrett’s oesophagus: long‐term follow‐up after complete ablation with argon plasma coagulation and the factors that determine its recurrence |
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