The role of esophagectomy in the management of Barrett's esophagus with high-grade dysplasia
Henry Badgery, Matthew Read, Nicole N Winter, Andrew CF Taylor, Michael W Hii
Annals of the New York Academy of Sciences | WILEY | Published : 2020
Barrett's esophagus (BE) with high-grade dysplasia (HGD) has previously been a routine indication for esophagectomy. Recent advances in endoscopic therapy have resulted in a shift away from surgery. Current international guidelines recommend endoscopic therapy for BE with HGD irrespective of recurrence or progression of dysplasia. Current guidelines do not address the ongoing role of esophagectomy as an adjunct in the setting of failed endoscopic therapy. This review examines the role of esophagectomy as an adjunct to endoscopy in the management of patients with BE and HGD, with a specific focus on patients with persistent, progressive, or recurrent disease, disease resistant to endoscopic t..View full abstract
M.R. is recipient of the senior lecturer fellowship from the Royal Australasian College of Surgeons.