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Factors associated with recurrence of Barrett’s esophagus after radiofrequency ablation

Clinical Gastroenterology and Hepatology Jun 17, 2018

Tan MC, et al. - Using data from the national Veterans Affairs (VA) healthcare system, the researchers examined the incidence of and factors correlated with Barrett’s esophagus (BE) recurrence, with or without neoplasia, after radiofrequency ablation (RFA) and complete eradication of intestinal metaplasia (CEIM). A retrospective cohort study of Veterans with BE treated by RFA from 2005 through 2016 with follow-up endoscopy was performed. Patients were followed until BE recurrence, neoplasia, death until October 2016. They found baseline dysplasia, long-segment BE, and treatment at low-volume RFA centers with a recurrence of BE after CEIM was associated, in a nationwide VA system study of outcomes of RFA for BE. They suggested that there was a need to perform these procedures in high-volume centers.
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