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Volume 361:1021-1022 September 3, 2009 Number 10
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Radiofrequency Ablation in Barrett's Esophagus

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by Shaheen, N. J.
To the Editor: Shaheen et al. (May 28 issue)1 report on radiofrequency ablation of endoscopically evident, non-nodular, dysplastic Barrett's esophagus as compared with a sham procedure. Unfortunately, the article omits any information about endoscopic resection, a well-established alternative treatment. Since 2000, our group and others have reported on several prospectively assessed case series including up to 1000 patients with high-grade dysplasia and mucosal cancer.2,3,4 Removing any endoscopically evident, non-nodular and nodular dysplasia or neoplasia with the use of endoscopic resection provides an opportunity to obtain precise histopathological assessment with regard to infiltration depth, differentiation, and lymphatic or blood-vessel involvement — . . . [Full Text of this Article]



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