Mistakes in endoscopic treatment of Barrett oesophagus neoplasia and how to avoid them

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Mistakes in endoscopic treatment of Barrett oesophagus neoplasia and how to avoid them

Jacques J. Bergman, Roos E. Pouw, Eva Verheij

Summary

AI Generated

This material addresses common mistakes in the endoscopic management of Barrett's oesophagus neoplasia and provides practical recommendations for avoiding them.

Barrett's oesophagus is a premalignant condition of the distal oesophagus that predisposes to oesophageal adenocarcinoma, which has a poor prognosis when diagnosed at a symptomatic stage.
Patients with Barrett's oesophagus undergo regular endoscopic surveillance to detect neoplastic progression at an early, endoscopically treatable stage.
Endoscopic management of early Barrett's oesophagus neoplasia combines endoscopic imaging, endoscopic resection, and endoscopic ablation.
The discussion draws on existing guidelines including the ESGE Barrett's oesophagus guideline, though the authors note that underlying evidence is often missing and many recommendations are based on common sense and their clinical experience.

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This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Weusten B, et al. Endoscopic management of Barrett's esophagus: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy 2017; 49: 191–198. [Link]

van Vilsteren FG, et al. Learning endoscopic resection in the esophagus. Endoscopy 2015; 47: 972–979. [Link]

van Munster S, et al. Long-term outcomes after endoscopic treatment for Barrett's neoplasia with radiofrequency ablation ± endoscopic resection: results from the national Dutch database in a 10-year period. Gut Epub ahead of print Mar 22, 2021. DOI: 10.1136/gutjnl-2020-322615. [Link]

Abstract

Barrett’s oesophagus is a premalignant condition of the distal oesophagus predisposing to oesophageal adenocarcinoma. Given the potential for malignant progression and the poor prognosis of eosophageal adenocarcinoma when diagnosed at a symptomatic stage, patients with known Barrett oesophagus undergo regular endoscopic surveillance to detect neoplastic progression at an early and preferably endoscopically, treatable stage. Endoscopic management of early Barrett oesophagus neoplasia consists of a combination of endoscopic imaging, endoscopic resection and endoscopic ablation. Below we discuss a number of mistakes that are frequently made when managing Barrett oesophagus neoplasia and how to avoid them. Much of this discussion draws on existing guidelines (for background reading, check the ESGE Barrett oesophagus guideline), but in many instances the underlying evidence (even in the guideline) is missing and therefore many of our practically driven recommendations are based on common sense and our experience in this field.

Topics

Oesophagus

Citation

Verheij EPD, Pouw RE and Bergman JJ. Mistakes in endoscopic treatment of Barrett oesophagus neoplasia and how to avoid them. UEG Education 2021; 21: 35–39.

Published

2021

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Abstract

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Digestive Oncology Endoscopy Oesophagus

Published

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Mistakes in short bowel and how to avoid them

Simon Gabe, Jeremy Nightingale, Siddhartha Oke

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References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Weusten B, et al. Endoscopic management of Barrett's esophagus: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy 2017; 49: 191–198. [Link]

van Vilsteren FG, et al. Learning endoscopic resection in the esophagus. Endoscopy 2015; 47: 972–979. [Link]

Abstract

Short bowel is a condition that occurs after single or multiple intestinal resections. The incidence of short bowel in Europe is 2 per million of the population and it carries with it lifelong morbidity and mortality. The initial recognition and management of short bowel in the adult population tends to occur in the postoperative period and in the secondary care setting, where specialist input from clinicians experienced in short bowel is often lacking.

Topics

Small Intestine & Nutrition

Citation

Oke SM, Nightingale JM and Gabe SM Mistakes in short bowel and how to avoid them. UEG Education 2018; 18: 7–11.

Published

2018

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Mistakes in rumination syndrome and how to avoid them

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References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Weusten B, et al. Endoscopic management of Barrett's esophagus: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy 2017; 49: 191–198. [Link]

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Abstract

Topics

Neurogastroenterology & Motility

Citation

Ezquerra-Durán A and Barba-Orozco E. Mistakes in rumination syndrome and how to avoid them. UEG Education 2025; 25: 10-13.

Published

2025

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Mistakes in the management of hepatocellular carcinoma and how to avoid them

Spyridon Pantzios, Ioannis Elefsiniotis, Christos Triantos

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References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Weusten B, et al. Endoscopic management of Barrett's esophagus: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy 2017; 49: 191–198. [Link]

van Vilsteren FG, et al. Learning endoscopic resection in the esophagus. Endoscopy 2015; 47: 972–979. [Link]

Abstract

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Topics

Digestive Oncology Hepatobiliary

Published

2026

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Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

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Weight loss "Endoscopy vs. Surgery" with Ivo Boskoski and Ralph Peterli

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Summary is not available for this content yet.

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Abstract

Topics

Endoscopy Surgery

Published

2024

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This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

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Mistakes in jejunal feeding and how to avoid them

Ashley Bond, Simon Lal

Summary

AI Generated

Summary is not available for this content yet.

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References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Weusten B, et al. Endoscopic management of Barrett's esophagus: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy 2017; 49: 191–198. [Link]

van Vilsteren FG, et al. Learning endoscopic resection in the esophagus. Endoscopy 2015; 47: 972–979. [Link]

Abstract

Topics

Small Intestine & Nutrition

Citation

Bond A and Lal S. Mistakes in jejunal feeding and how to avoid them. UEG Education 2020; 20: 17–19.

Published

2020

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