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1. Computer-aided diagnosis improves characterization of Barrett’s neoplasia by general endoscopists (with video)

Author

Alkhalaf, Alaa, Herrero, Lorenza Alvarez, Baldaque-Silva, Francisco, Barret, Maximilien, Bergman, Jacques J., Beyna, Torsten, Bisschops, Raf, Boers, Tim G., Curvers, Wouter, Deprez, Pierre H., Duits, Lucas C., Elbe, Peter, Esteban, Jose Miguel, Falk, Gary W., Fockens, Kiki N., Ginsberg, Gregory G., de Groof, Albert J., Haidry, Rehan, Houben, Martin H., Infantolino, Anthony, Iyer, Prasad G., Jong, Martijn, Jonge, Pieter-Jan de, Jukema, Jelmer B., Koch, Arjun, Komanduri, Srinadh, Konda, Vani, Kusters, Koen C., Leclerq, Philippe, Leggett, Cadman L., Lightdale, Charles J., Mallant-Hent, Rosalie C., Villarejo, Guiomar Moral, Fernández-Sordo, Jacobo Ortiz, Pech, Oliver, Penman, Ian, Pouw, Roos E., van der Putten, Joost A., Ragunath, Krish, Scholten, Pieter, Seewald, Stefan, Sethi, Amritha, Smith, Michael S., van der Sommen, Fons, Trindade, Arvind, Wani, Sachin, Waxman, Irving, Westerhof, Jessie, Weusten, Bas L., de With, Peter H., Wolfsen, Herbert C., Kusters, Carolus H.J., Jong, Martijn R., Boers, Tim, Weusten, Bas L.A.M., Houben, Martin H.M.G., Nagengast, Wouter B., Mallant-Hent, Rosalie, Silva, Francisco Baldaque, Ortiz Fernández-Sordo, Jacobo, Moral Villarejo, Guiomar, Montazeri, Nahid S.M., der Sommen, Fons van, and de Groof, A. Jeroen

Published
2024
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4. COMPUTER-AIDED DIAGNOSIS IMPROVES CHARACTERIZATION OF BARRETT’S NEOPLASIA BY GENERAL ENDOSCOPISTS

Author

Jukema, Jelmer B., primary, Kusters, Carolus H.J., additional, Jong, Martijn R., additional, Fockens, Kiki N., additional, Boers, Tim, additional, van der Putten, Joost A., additional, Pouw, Roos E., additional, Duits, Lucas C., additional, Weusten, BasL.A.M., additional, Herrero, Lorenza. Alvarez, additional, Houben, Martin H.M.G., additional, Nagengast, Wouter B., additional, Westerhof, Jessie, additional, Alkhalaf, Alaa, additional, Mallant-Hent, Rosalie, additional, Scholten, Pieter, additional, Ragunath, Krish, additional, Seewald, Stefan, additional, Elbe, Peter, additional, Silva, Francisco Baldaque, additional, Barret, Maximilien, additional, Fernández-Sordo, Jacobo Ortiz, additional, Villarejo, Guiomar Moral, additional, Pech, Oliver, additional, Beyna, Torsten, additional, Montazeri, Nahid S.M., additional, van der Sommen, Fons, additional, de With, Peter H., additional, de Groof, A. Jeroen, additional, Bergman, Jacques J., additional, Herrero, Lorenza Alvarez, additional, Baldaque-Silva, Francisco, additional, Bisschops, Raf, additional, Boers, Tim G., additional, Curvers, Wouter, additional, Deprez, Pierre H., additional, Esteban, Jose Miguel, additional, Falk, Gary W., additional, Ginsberg, Gregory G., additional, de Groof, Albert J., additional, Haidry, Rehan, additional, Houben, Martin H., additional, Infantolino, Anthony, additional, Iyer, Prasad G., additional, Jong, Martijn, additional, Jonge, Pieter-Jan de, additional, Jukema, Jelmer B., additional, Koch, Arjun, additional, Komanduri, Srinadh, additional, Konda, Vani, additional, Kusters, Koen C., additional, Leclerq, Philippe, additional, Leggett, Cadman L., additional, Lightdale, Charles J., additional, Mallant-Hent, Rosalie C., additional, Muthusamy, V Raman, additional, Penman, Ian, additional, Sethi, Amritha, additional, Smith, Michael S., additional, Trindade, Arvind, additional, Wani, Sachin, additional, Waxman, Irving, additional, Weusten, Bas L., additional, and Wolfsen, Herbert C., additional

Published
2024
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5. Late Recurrence of Barrett’s Esophagus After Complete Eradication of Intestinal Metaplasia is Rare: Final Report From Ablation in Intestinal Metaplasia Containing Dysplasia Trial

Author

Cotton, Cary C, Wolf, W Asher, Overholt, Bergein F, Li, Nan, Lightdale, Charles J, Wolfsen, Herbert C, Pasricha, Sarina, Wang, Kenneth K, Shaheen, Nicholas J, Group, AIM Dysplasia Trial, Sampliner, Richard E, Fleischer, David E, Sharma, Virender K, Eisen, Glenn M, Fennerty, M Brian, Hunter, John G, Bronner, Mary P, Goldblum, John R, Bennett, Ana E, Mashimo, Hiroshi, Rothstein, Richard I, Gordon, Stuart R, Edmundowicz, Steven A, Muthusamy, V Raman, Chang, Kenneth J, Kimmey, Michael B, Spechler, Stuart J, Siddiqui, Ali A, Souza, Rhonda F, Infantolino, Anthony, Dumot, John A, Falk, Gary W, Jobe, Blair A, Hawes, Robert H, Hoffman, Brenda J, Sharma, Prateek, and Chak, Amitabh

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Prevention, Clinical Trials and Supportive Activities, Clinical Research, Digestive Diseases, Cancer, Oral and gastrointestinal, Aged, Barrett Esophagus, Catheter Ablation, Disease Progression, Esophagus, Female, Follow-Up Studies, Humans, Incidence, Kaplan-Meier Estimate, Male, Metaplasia, Middle Aged, Mucous Membrane, Population Surveillance, Prospective Studies, Recurrence, Time Factors, AIM Dysplasia Trial Group, HGD, High Grade Dysplasia, LGD, Long-term Outcome, Low Grade Dysplasia, Prognostic Factor, Neurosciences, Paediatrics and Reproductive Medicine, Gastroenterology & Hepatology, Clinical sciences, Nutrition and dietetics
Abstract

Background & aimsThe goal of treatment for Barrett's esophagus (BE) with dysplasia is complete eradication of intestinal metaplasia (CEIM). The long-term durability of CEIM has not been well characterized, so the frequency and duration of surveillance are unclear. We report results from a 5-year follow-up analysis of patients with BE and dysplasia treated by radiofrequency ablation (RFA) in the randomized controlled Ablation of Intestinal Metaplasia Containing Dysplasia (AIM) trial.MethodsParticipants for the AIM Dysplasia trial (18-80 years old) were recruited from 19 sites in the United States and had endoscopic evidence of non-nodular dysplastic BE ≤8 cm in length. Subjects (n = 127) were randomly assigned (2:1 ratio) to receive either RFA (entire BE segment ablated circumferentially) or a sham endoscopic procedure; patients in the sham group were offered RFA treatment 1 year later, and all patients were followed for 5 years. We collected data on BE recurrence (defined as intestinal metaplasia in the tubular esophagus) and dysplastic BE recurrence among patients who achieved CEIM. We constructed Kaplan-Meier estimates and applied parametric survival analysis to examine proportions of patients without any recurrence and without dysplastic recurrence.ResultsOf 127 patients in the AIM Dysplasia trial, 119 received RFA and met inclusion criteria. Of those 119, 110 (92%) achieved CEIM. Over 401 person-years of follow-up (mean, 3.6 years per patient; range, 0.2-5.8 years), 35 of 110 (32%) patients had recurrence of BE or dysplasia, and 19 (17%) had dysplasia recurrence. The incidence rate of BE recurrence was 10.8 per 100 person-years overall (95% CI, 7.8-15.0); 8.3 per 100 person-years among patients with baseline low-grade dysplasia (95% CI, 4.9-14.0), and 13.5 per 100 person-years among patients with baseline high-grade dysplasia (95% CI 8.8-20.7). The incidence rate of dysplasia recurrence was 5.2 per 100 person-years overall (95% CI 3.3-8.2); 3.3 per 100 person-years among patients with baseline low-grade dysplasia (95% CI 1.5-7.2), and 7.3 per 100 person-years among patients with baseline high-grade dysplasia (95% CI 4.2-12.5). Neither BE nor dysplasia recurred at a constant rate. There was a greater probability of recurrence in the first year following CEIM than in the following 4 years combined.ConclusionsIn this analysis of prospective cohort data from the AIM Dysplasia trial, we found BE to recur after CEIM by RFA in almost one third of patients with baseline dysplastic disease; most recurrences occurred during the first year after CEIM. However, patients who achieved CEIM and remained BE free at 1 year after RFA had a low risk of BE recurrence. Studies are needed to determine when surveillance can be decreased or discontinued; our study did not identify any BE or dysplasia recurrence after 4 years of surveillance.

Published
2017

6. A deep learning system for detection of early Barrett's neoplasia: a model development and validation study

Author

Fockens, K N, primary, Jong, M R, additional, Jukema, J B, additional, Boers, T G W, additional, Kusters, C H J, additional, van der Putten, J A, additional, Pouw, R E, additional, Duits, L C, additional, Montazeri, N S M, additional, van Munster, S N, additional, Weusten, B L A M, additional, Alvarez Herrero, L, additional, Houben, M H M G, additional, Nagengast, W B, additional, Westerhof, J, additional, Alkhalaf, A, additional, Mallant-Hent, R C, additional, Scholten, P, additional, Ragunath, K, additional, Seewald, S, additional, Elbe, P, additional, Baldaque-Silva, F, additional, Barret, M, additional, Ortiz Fernández-Sordo, J, additional, Villarejo, G Moral, additional, Pech, O, additional, Beyna, T, additional, van der Sommen, F, additional, de With, P H, additional, de Groof, A J, additional, Bergman, J J, additional, Alkhalaf, Alaa, additional, Alvarez Herrero, Lorenza, additional, Baldaque-Silva, Francisco, additional, Barret, Maximilien, additional, Bergman, Jacques J, additional, Beyna, Torsten, additional, Bisschops, Raf, additional, Boers, Tim G, additional, Curvers, Wouter, additional, Deprez, Pierre H, additional, Duits, Lucas C, additional, Elbe, Peter, additional, Esteban, Jose M, additional, Falk, Gary W, additional, Fockens, Kiki N, additional, Ganguly, Eric, additional, Ginsberg, Gregory G, additional, de Groof, Albert J, additional, Haidry, Rehan, additional, Houben, Martin H, additional, Infantolino, Anthony, additional, Iyer, Prasad G, additional, Jong, Martijn R, additional, De Jonge, Pieter-Jan, additional, Jukema, Jelmer B, additional, Koch, Arjun K, additional, Komanduri, Srinadh, additional, Konda, Vani, additional, Kusters, Carolus H J, additional, Leclercq, Philippe, additional, Leggett, Cadman L, additional, Lemmers, Arnaud, additional, Lightdale, Charles J, additional, Mallant-Hent, Rosalie C, additional, Moral Villarejo, Guiomar, additional, Muthusamy, V Raman, additional, Nagengast, Wouter, additional, Ortiz Fernández-Sordo, Jacobo, additional, Pech, Oliver, additional, Penman, Ian, additional, Pleskow, Douglas K, additional, Pouw, Roos E, additional, van der Putten, Joost A, additional, Ragunath, Krish, additional, Scholten, Pieter, additional, Seewald, Stefan, additional, Sethi, Amritha, additional, Smith, Michael S, additional, Van der Sommen, Fons, additional, Trindade, Arvind, additional, Wani, Sachin, additional, Waxman, Irving, additional, Westerhof, Jessie, additional, Weusten, Bas L, additional, de With, Peter H N, additional, and Wolfsen, Herbert C, additional

Published
2023
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7. Incidence of Esophageal Adenocarcinoma and Causes of Mortality After Radiofrequency Ablation of Barrett’s Esophagus

Author

Wolf, W Asher, Pasricha, Sarina, Cotton, Cary, Li, Nan, Triadafilopoulos, George, Muthusamy, V Raman, Chmielewski, Gary W, Corbett, F Scott, Camara, Daniel S, Lightdale, Charles J, Wolfsen, Herbert, Chang, Kenneth J, Overholt, Bergein F, Pruitt, Ron E, Ertan, Atilla, Komanduri, Srinadh, Infantolino, Anthony, Rothstein, Richard I, and Shaheen, Nicholas J

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Digestive Diseases, Clinical Research, Rare Diseases, Cancer, Good Health and Well Being, Adenocarcinoma, Aged, Aged, 80 and over, Barrett Esophagus, Catheter Ablation, Cause of Death, Chi-Square Distribution, Esophageal Neoplasms, Female, Humans, Incidence, Kaplan-Meier Estimate, Logistic Models, Male, Middle Aged, Multivariate Analysis, Odds Ratio, Protective Factors, Registries, Risk Assessment, Risk Factors, Time Factors, Treatment Outcome, United States, Esophageal Adenocarcinoma, Mortality, NDBE, Neurosciences, Paediatrics and Reproductive Medicine, Gastroenterology & Hepatology, Clinical sciences, Nutrition and dietetics
Abstract

Background & aimsRadiofrequency ablation (RFA) is commonly used to treat Barrett's esophagus (BE). We assessed the incidence of esophageal adenocarcinoma (EAC) after RFA, factors associated with the development of EAC, and EAC-specific and all-cause mortality.MethodsWe collected data for outcomes of patients who underwent RFA for BE from July 2007 through July 2011 from US multicenter RFA Patient Registry. Patients were followed until July 2014. Kaplan-Meier curves of EAC incidence were stratified by baseline histology. Crude EAC incidence and mortality (all-cause and EAC-specific) were calculated, and adjusted all-cause mortality was assessed. Logistic regression models were constructed to assess predictors of EAC and all-cause mortality.ResultsAmong 4982 patients, 100 (2%) developed EAC (7.8/1000 person-years [PY]) and 9 patients (0.2%) died of EAC (0.7/1000 PY) in a mean 2.7 ± 1.6 years. The incidence of EAC in nondysplastic BE was 0.5/1000 PY. Overall, 157 patients (3%) died during follow-up (all-cause mortality, 11.2/1000 PY). On multivariate logistic regression, baseline BE length (odds ratio, 1.1/ cm) and baseline histology (odds ratios, 5.8 and 50.3 for low-grade dysplasia and high-grade dysplasia [HGD] respectively) predicted EAC incidence. Among 9 EAC deaths, 6 (67%) had baseline HGD, and 3 (33%) had baseline intramucosal EAC. The most common causes of death were cardiovascular (15%) and extraesophageal cancers (15%). No deaths were associated with RFA.ConclusionsBased on analysis of a multicenter registry of patients who underwent RFA of BE, less than 1% died from EAC. The incidence of EAC was markedly lower in this study than in other studies of disease progression, with the greatest absolute benefit observed in patients with HGD.

Published
2015

9. Increased detection of Barrett’s esophagus–associated neoplasia using wide-area trans-epithelial sampling: a multicenter, prospective, randomized trial

Author

Vennalaganti, Prashanth R., Kaul, Vivek, Wang, Kenneth K., Falk, Gary W., Shaheen, Nicholas J., Infantolino, Anthony, Johnson, David A., Eisen, Glenn, Gerson, Lauren B., Smith, Michael S., Iyer, Prasad G., Lightdale, Charles J., Schnoll-Sussman, Felice, Gupta, Neil, Gross, Seth A., Abrams, Julian, Haber, Gregory B., Chuttani, Ram, Pleskow, Douglas K., Kothari, Shivangi, Goldblum, John R., Zhang, Yaxia, and Sharma, Prateek

Published
2018
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10. UNDERWATER VS. CONVENTIONAL ENDOSCOPIC MUCOSAL RESECTION OF COLORECTAL POLYPS: SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS

Author

Sharma, Sachit, primary, Kamal, Faisal, additional, Gangwani, Manesh Kumar, additional, Aziz, Muhammad, additional, Ahmed, Zohaib, additional, Farooq, Umer, additional, Khan, Adnan, additional, Schlachterman, Alexander, additional, Tofani, Christina, additional, Infantolino, Anthony, additional, Loren, David, additional, Kowalski, Thomas, additional, and Kumar, Anand, additional

Published
2023
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11. DURABILITY OF NITROUS OXIDE CRYOBALLOON ABLATION FOR NEOPLASTIC BARRETT’S ESOPHAGUS: FINAL RESULTS OF A MULTICENTER CLINICAL TRIAL

Author

Canto, Marcia, primary, Abrams, Julian, additional, Trindade, Arvind, additional, Iyer, Prasad, additional, Chak, Amitabh, additional, Dumot, John, additional, Khara, Harshit, additional, Diehl, David, additional, Corbett, F Scott, additional, Shin, Eun, additional, Mckinley, Matthew, additional, Waxman, Irving, additional, Infantolino, Anthony, additional, Tofani, Christina, additional, Samarasena, Jason, additional, Chang, Kenneth, additional, Goldblum, John, additional, Voltaggio, Lysandra, additional, Montgomery, Elizabeth, additional, Lightdale, Charles, additional, and Shaheen, Nicholas, additional

Published
2023
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12. ROLE OF SNARE TIP SOFT COAGULATION AFTER ENDOSCOPIC MUCOSAL RESECTION IN REDUCING RISK OF RECURRENT ADENOMAS: SYSTEMATIC REVIEW AND META-ANALYSIS

Author

Kamal, Faisal, primary, Sharma, Sachit, additional, Gangwani, Manesh Kumar, additional, Aziz, Muhammad, additional, Hayat, Umar, additional, Farooq, Umer, additional, Shinn, Brianna, additional, Schlachterman, Alexander, additional, Tofani, Christina, additional, Infantolino, Anthony, additional, Loren, David, additional, Kowalski, Thomas, additional, and Kumar, Anand, additional

Published
2023
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37. Multifocal Cryoballoon Ablation for Eradication of Barrett's Esophagus-Related Neoplasia: A Prospective Multicenter Clinical Trial

Author

Canto, Marcia Irene, primary, Trindade, Arvind J., additional, Abrams, Julian, additional, Rosenblum, Michael, additional, Dumot, John, additional, Chak, Amitabh, additional, Iyer, Prasad, additional, Diehl, David, additional, Khara, Harshit S., additional, Corbett, F. Scott, additional, McKinley, Matthew, additional, Shin, Eun Ji, additional, Waxman, Irving, additional, Infantolino, Anthony, additional, Tofani, Christina, additional, Samarasena, Jason, additional, Chang, Kenneth, additional, Wang, Bingkai, additional, Goldblum, John, additional, Voltaggio, Lysandra, additional, Montgomery, Elizabeth, additional, Lightdale, Charles J., additional, and Shaheen, Nicholas J., additional

Published
2020
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40. Mo1243 HIATAL HERNIA SIZE AND BARRETT’S ESOPHAGUS SEGMENT LENGTH - INDEPENDENT PREDICTORS OF THE NUMBER OF RADIOFREQUENCY ABLATIONS NEEDED TO ACHIEVE COMPLETE ERADICATION OF INTESTINAL METAPLASIA OR DYSPLASIA IN BARRETT’S ESOPHAGUS

Author

Shinn, Brianna, primary, Boortalary, Tina, additional, Hussaini, Zeba, additional, Elden, Andrew C., additional, Shimada, Ayako, additional, Keith, Scott W., additional, Kastenberg, David M., additional, Coben, Robert M., additional, Infantolino, Anthony, additional, and Tofani, Christina J., additional

Published
2020
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43. Radiofrequency Ablation in Barrettʼs Esophagus with Dysplasia

Author

Shaheen, Nicholas J., Sharma, Prateek, Overholt, Bergein F., Wolfsen, Herbert C., Sampliner, Richard E., Wang, Kenneth K., Galanko, Joseph A., Bronner, Mary P., Goldblum, John R., Bennett, Ana E., Jobe, Blair A., Eisen, Glenn M., Fennerty, Brian M., Hunter, John G., Fleischer, David E., Sharma, Virender K., Hawes, Robert H., Hoffman, Brenda J., Rothstein, Richard I., Gordon, Stuart R., Mashimo, Hiroshi, Chang, Kenneth J., Muthusamy, Raman V., Edmundowicz, Steven A., Spechler, Stuart J., Siddiqui, Ali A., Souza, Rhonda F., Infantolino, Anthony, Falk, Gary W., Kimmey, Michael B., Madanick, Ryan D., Chak, Amitabh, and Lightdale, Charles J.

Published
2009
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