The researchers concluded that RFA after EMR is a safe and effective treatment option for patients with nodular BE and advanced neoplasia. In this cohort, the performance of EMR before RFA was not associated with a diminished likelihood of success of therapy or an increased rate of stricture compared with those with advanced neoplasia undergoing RFA alone. The researchers noted that further studies are necessary to determine the effects of EMR before RFA on the durability of RFA treatment and to determine the effects of multiple EMR sessions on RFA outcomes.
In an accompanying editorial, David Fleischer, MD, Division of Gastroenterology, Mayo Clinic in Arizona, Scottsdale, stated “…this well-designed and well-executed study provides information for safety and efficacy and that allows us to continue to follow these now accepted treatment strategies with more comfort that one is doing the right thing."
The American Society for Gastrointestinal Endoscopy (ASGE) was founded in 1941. ASGE has more than 12,000 members worldwide and promotes the highest standards for endoscopic training and practice, fosters endoscopic research, recognizes distinguished contributions to endoscopy, and is a resource for endoscopic education.