Barrett's oesophagus heartburn
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients in the age of 18-85 years with HGD or EC in a Barrett*s esophagus. 2. An endoscopically visible abnormality containing HGD a/o EC with a circumferential extent
Exclusion criteria
Exclusion criteria: 1. Patients with a Barrett*s segment >12 centimeters. 2. Any prior endoscopic treatment of Barrett*s neoplasia. 3. After the ER but before RFA: positive vertical resection margins in any of the ER specimens. 4. After the ER but before RFA: remaining visible abnormalities containing HGD or EC after ER (additional ER is allowed). 5. After the ER but before RFA: esophageal stenosis due to scarring after the previous ER, defined as resistance in passing a therapeutic gastroscope. 6. After the ER but before RFA: any invasive cancer in biopsies obtained at high-resolution endoscopy after ER but before the RFA treatment. 7. After the ER but before RFA: absence of LGD and HGD in biopsies obtained at high-resolution endoscopy after ER but before the RFA treatment. 8. After the ER but before RFA: an interval > 3 months after the last high-resolution endoscopy with biopsies between ER and RFA. 9. After the ER but before RFA: an interval
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary clinical outcome parameters will be assessed at t=6 and t=12 months: 1. Rate of total histological eradication of HGD and EC 2. Rate of total endoscopic eradication of Barrett*s mucosa 3. Rate of total histological eradication of Barrett*s mucosa | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Acute and late complications of MBM and RFA 2. Percentage of surface regression of Barrett*s epithelium 3. Number of treatment sessions required | — |
Countries
Netherlands