Cited by 172Esophageal Cancer Research and TreatmentGastric Cancer Management and OutcomesPhotodynamic Therapy Research Studies

The DOI matches its Crossref record; 48 of the 48 references it cites were found in a registry or an index.

Endoscopic treatment of high-grade dysplasia and early stage cancer in Barrett's esophagus

Abstract

Background The aim of this study was to prospectively evaluate endoscopic resection (ER) combined with photodynamic therapy (PDT) for the treatment of selected patients with early neoplasia in Barrett's esophagus. Methods Patients with Barrett's esophagus and neoplastic lesions <2 cm in diameter and no sign of submucosal infiltration, positive lymph nodes, or distant metastasis underwent diagnostic ER (cap technique). Patients with a T1sm tumor in the resection specimen were referred for surgery; those with a T1m or a less invasive tumor underwent additional endoscopic therapy (ER, PDT, and/or argon plasma coagulation [APC]), or they were followed. PDT was performed with 5-aminolevulinic acid and a light dose of 100 J/cm 2 at lambda = 632 nm. Results Thirty-three patients underwent diagnostic ER. Endoscopic treatment was not performed in 5 patients, who underwent surgery (4 T1sm; 1, patient preference). Five patients were immediately entered into a follow-up protocol, and 23 received additional endoscopic treatment (13 additional ER, 19 PDT, 3 APC). Endoscopic treatment was successful in 26/28 patients; no severe complication was observed. During follow-up (median 19 months, range 13-24 months), 5/26 patients had a recurrence of high-grade dysplasia: all were successfully re-treated with ER. At the end of follow-up, 26/33 originally enrolled patients (79%) and 26/28 endoscopically treated patients (93%) were in local remission. Conclusions Endoscopic therapy is safe and effective for selected patients with early stage neoplasia in Barrett's esophagus.

Overview

Integrity signals

Registry

Crossref · 10.1016/s0016-5107(05)00063-5

Cites

48 of 48 references verified0 citation errors · 0 not checkable

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Claims other papers make about this one

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  • ALA-PDT was shown to be more effective in eradicating high-grade dysplasia than in treatment of early esophagus cancer.

    “ALA-PDT was shown to be more effective in eradicating high-grade dysplasia than in treatment of early esophagus cancer [124,125].”

Citations

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Research works printed but not linked: 4

  1. Behrens, 2003, Curative endoscopic therapy of early cancer and high-grade dysplasia in Barrett's esophagus can reduce the risk of recurrent carcinomas, Gastroenterology, 124
  2. Hino, 2003, A new material to aid endoscopic mucosal resection (EMR), Gastrointest Endosc, 57
  3. Inoue, 2003, A novel procedure of en bloc EMR using triangle-tipped knife, Gastrointest Endosc, 57
  4. Rajan, 2003, Widespread endoscopic mucosal resection (WEMR) of the esophagus in a porcine model with a prototype endoscopic cap device, Gastrointest Endosc, 57

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Metadata

Authors
Peters, F. P., Kara, M. A., Rosmolen, W. D., Aalders, M. C. G., ten Kate, F. J. W., Bultje, B. C., Krishnadath, K. K., Fockens, P., van Lanschot, J. J. B., van Deventer, S. J. H., & Bergman, J. J. G. H. M.
Affiliations
Amsterdam UMC Location University of Amsterdam (NL)
Corresponding author
Bergman, Jacques J.G.H.M.
Venue
Gastrointestinal Endoscopy
Publisher
Elsevier BV
Published
2005-04
Volume
61
Issue
4
Pages
506-514
ISSN
0016-5107 (ISSN-L)
OpenAlex
W2062340807
Cited by
172
References
48
Citations by year
2025: 1 · 2024: 2 · 2023: 5 · 2022: 3 · 2021: 7 · 2020: 3 · 2019: 3 · 2018: 6 · 2017: 4 · 2016: 10 · 2015: 13 · 2014: 8 · 2013: 13 · 2012: 12
FWCI
15.47
Type
journal article
Language
en
Open access
closed
Locations
  • Gastrointestinal Endoscopy (publishedVersion)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Esophageal Cancer Research and Treatment
  • Health Sciences › Medicine › Oncology › Gastric Cancer Management and Outcomes
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Photodynamic Therapy Research Studies
Keywords
Barrett's esophagus, high-grade dysplasia, early esophageal cancer, endoscopic resection, photodynamic therapy, argon plasma coagulation, 5-aminolevulinic acid, recurrence, endoscopic treatment
MeSH terms
Aged, Argon, Barrett Esophagus, Esophageal Neoplasms, Esophagoscopy, Female, Humans, Male, Middle Aged, Neoplasm Staging, Photochemotherapy, Prospective Studies, Treatment Outcome, Laser Coagulation

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