2014-03-11 15:21:47 UTC

Endoscopic Resection is Successful for Patients with mAC

March 13, 2014

Oliver Pech and colleagues report in Gastroenterology that endoscopic therapy is highly effective and safe for patients with mucosal adenocarcinoma of the esophagus (mAC), with excellent long-term results.

Barrett’s esophagus–associated high-grade dysplasia is commonly treated by endoscopy. However, most guidelines offer no recommendations for endoscopic treatment of mucosal adenocarcinoma of the esophagus (mAC). Oliver Pech and colleagues investigated the efficacy and safety of endoscopic resection in a large series of patients with mAC. Reporting in Gastroenterology, they find that endoscopic therapy is highly effective and safe for patients with mAC, with excellent long-term results. In an almost five-year follow-up of 1,000 patients treated with endoscopic resection, there was no mortality and less than 2 percent had major complications. Endoscopic therapy should become the standard of care for patients with mAC. 

Gastroenterology 2014: 146(3): 652-660.e1

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