How I Approach It: Care of the Post-Ablation Barrett's Esophagus Patient.
How I Approach It: Care of the Post-Ablation Barrett's Esophagus Patient.
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我如何处理它：消融后巴雷特食管患者的护理。
DOI：
10.1038/ajg.2017.291
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Shaheen,NicholasJ
中科院分区：
文献类型：
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作者：
Shafa,Shervin;Shaheen,NicholasJ
我如何处理EET提供的对不可切除肿瘤的保护（8）。基于患者年龄、BE节段长度和基线组织学等风险因素，循证监测间隔可能在不久的将来可用（图1）（7）。在此期间，可以使用专家共识产生的当前推荐间隔（表1）。对于消融后更换医疗服务提供者的患者，负责患者护理的医生应确认发育异常的初始程度，以便计划适当的监测间隔。由于年龄增长或合并症而停止常规监测的决定最好在个案基础上处理。虽然监测内镜的效用预计会随着预期寿命的减少而减少，但还应该注意的是，EET后老年患者的癌症发病率高于年轻患者（7）。
HOW I APPROACH IT protection against unresectable neoplasia provided by EET (8). Evidence-based surveillance intervals may be available in the near future, based on risk factors such as patient age, BE segment length, and baseline histology (Figure 1)(7). In the interim, the currently recommended intervals (Table 1), generated by expert consensus, may be used. In patients who change providers after ablation, the physician assuming the patient’s care should confirm the initial degree of dysplasia, so that appropriate surveillance intervals may be planned. The decision to stop routine surveillance due to advancing age or co-morbid conditions is best handled on a case-by-case basis. While the utility of surveillance endoscopy would be expected to decrease with diminishing life expectancy, it should also be noted that incident cancer was more common in older patients following EET than younger patients (7).