ARTÍCULO DE REVISIÓN
Radiofrecuencia para esófago de Barrett: Revisión de la literatura
Barrett's esophagus radioablation: review
J. Farell-Rivasa,
, J.A.M. Valencia-Romerob, J.C. Soto-Pérezc, C.J. Mata-Quinterod, M. Valdivia-Balbuenac, M. Díaz-Oyolac, V.J. Cuevas-Osorioa, O.J. Pineda-Olivoa, G.A. Chuc-Baezaa
Autor para correspondencia
jorgefarell@gmail.com
Autor para correspondencia: Ladera N° 20, Int. 6, Colonia Lomas de Bezares, C.P. 11910. Tel.: +5259 1793, (04455) 5455 1481.
Autor para correspondencia: Ladera N° 20, Int. 6, Colonia Lomas de Bezares, C.P. 11910. Tel.: +5259 1793, (04455) 5455 1481.
a Cirugía General, Residencia de la Sub-especialidad de Endoscopia Gastrointestinal, Servicio de Endoscopia, Hospital Central Sur de Alta Especialidad, México D.F., México
b Jefatura del Servicio de Gastroenterología y Endoscopia, Hospital Central Sur de Alta Especialidad, México D.F., México
c Servicio de Gastroenterología y Endoscopia, Hospital Central Sur de Alta Especialidad, México D.F., México
d Servicio de Cirugía General, Hospital Central Sur de Alta Especialidad, México D.F., México
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Tel.: +5259 1793, (04455) 5455 1481." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Barrett's esophagus radioablation: review" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2013-11-20" "fechaAceptado" => "2014-01-20" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec320088" "palabras" => array:5 [ 0 => "Barrett" 1 => "Radioablación" 2 => "esófago" 3 => "Tratamiento" 4 => "México." ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec320087" "palabras" => array:5 [ 0 => "Barrett" 1 => "Radioablation" 2 => "esophagus" 3 => "Treatment" 4 => "Mexico." ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La ablación por radiofrecuencia (RFA) es un tratamiento endoscópico de primera línea para el esófago de Barrett (eB) con displasia de alto grado (dAG) y el carcinoma intramucoso (IMC) con altas tasas de erradicación, baja recurrencia a 5 años (< 10%) y baja tasa de complicaciones. se desconocen resultados a largo plazo, pero a 5 años, se habla de una tasa de efectividad > 90% en general. Los pacientes con eB sin displasia o displasia leve no tendrían indicación hoy en día para manejo con RFA de acuerdo a las guías internacionales, sin embargo es probable que con la aparición de marcadores biológicos para progresión a cáncer, mayor experiencia y la adecuada identificación de factores de progresión a displasia, algunos de estos pacientes pueden verse beneficiados con la RFA, la realidad clínica es que en algunos centros y países, la RFA se realiza con relativa frecuencia en pacientes sin displasia.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La ablación circunferencial primaria se lleva a cabo utilizando un electrodo bipolar basado en un balón neumático, mientras que el tratamiento secundario de eB residual se lleva a cabo utilizando un electrodo bipolar montado en una plataforma articulada sobre la punta del endoscopio. Los estudios sugieren que esta técnica de ablación es altamente eficaz en la eliminación de la mucosa con Barrett y la displasia asociada, y reduce al mínimo los inconvenientes conocidos de la terapia fotodinámica y argón plasma, tales como estenosis esofágica y focos subescamosos de eB (“Barrett enterrado o subepitelial”).</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Su aplicación de forma internacional tiene ya una experiencia mayor a 5 años, mientras que en México presenta escasos meses y poca experiencia.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Radiofrequency ablation (RFA) is a first-line endoscopic therapy for Barrett's esophagus (Be) with high-grade dysplasia and intramucosal carcinoma with high eradication rates, low recurrence at 5 years (< 10%) and low rate complications. Long-term results are unknown, but 5 years trials reports a success rate > 90% overall. Patients with Be without dysplasia or mild dysplasia would have no indication today for RFA according to international guidelines, however it is likely that the appearance of biomarkers for progression to cancer, more experience and proper identification of factors of progression to dysplasia, some of these patients may benefit with RFA, the clinical reality is that in some countries and endoscopic centers RFA is performed with relative frequency in patients without dysplasia.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Primary circumferential ablation is performed using a bipolar electrode based on a pneumatic balloon, while the secondary residual eB treatment is performed using a bipolar electrode mounted on a hinged platform on the endoscope tip. studies suggest that this ablation technique is highly effective in the removal of the mucosa and dysplasia in Barrett associated, and minimizes the disadvantages of known photodynamic therapy and argon plasma, such as esophageal stenosis and eB subescamosos foci (“subepithelial or buried Barrett”).</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">There is experience of more than 5 years in some countries, while in Mexico a few months and little experience is the reality.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:39 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "[1]" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The columnar-lined esophagus, intestinal metaplasia and Norman Barrett" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S.J. spechler" 1 => "R.K. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 3 | 0 | 3 |
| 2024 Octubre | 36 | 10 | 46 |
| 2024 Septiembre | 20 | 13 | 33 |
| 2024 Agosto | 19 | 9 | 28 |
| 2024 Julio | 37 | 4 | 41 |
| 2024 Junio | 25 | 12 | 37 |
| 2024 Mayo | 31 | 4 | 35 |
| 2024 Abril | 16 | 9 | 25 |
| 2024 Marzo | 16 | 13 | 29 |
| 2024 Febrero | 11 | 15 | 26 |
| 2024 Enero | 16 | 9 | 25 |
| 2023 Diciembre | 6 | 9 | 15 |
| 2023 Noviembre | 14 | 10 | 24 |
| 2023 Octubre | 28 | 7 | 35 |
| 2023 Septiembre | 11 | 3 | 14 |
| 2023 Agosto | 12 | 8 | 20 |
| 2023 Julio | 14 | 15 | 29 |
| 2023 Junio | 8 | 7 | 15 |
| 2023 Mayo | 13 | 10 | 23 |
| 2023 Abril | 8 | 2 | 10 |
| 2023 Marzo | 9 | 1 | 10 |
| 2023 Febrero | 7 | 2 | 9 |
| 2023 Enero | 10 | 14 | 24 |
| 2022 Diciembre | 11 | 14 | 25 |
| 2022 Noviembre | 24 | 3 | 27 |
| 2022 Octubre | 15 | 13 | 28 |
| 2022 Septiembre | 24 | 13 | 37 |
| 2022 Agosto | 13 | 18 | 31 |
| 2022 Julio | 12 | 16 | 28 |
| 2022 Junio | 20 | 11 | 31 |
| 2022 Mayo | 26 | 18 | 44 |
| 2022 Abril | 33 | 9 | 42 |
| 2022 Marzo | 20 | 12 | 32 |
| 2022 Febrero | 9 | 4 | 13 |
| 2022 Enero | 36 | 8 | 44 |
| 2021 Diciembre | 21 | 15 | 36 |
| 2021 Noviembre | 18 | 9 | 27 |
| 2021 Octubre | 46 | 13 | 59 |
| 2021 Septiembre | 18 | 9 | 27 |
| 2021 Agosto | 52 | 4 | 56 |
| 2021 Julio | 9 | 14 | 23 |
| 2021 Junio | 26 | 8 | 34 |
| 2021 Mayo | 17 | 4 | 21 |
| 2021 Abril | 14 | 25 | 39 |
| 2021 Marzo | 21 | 7 | 28 |
| 2021 Febrero | 13 | 7 | 20 |
| 2021 Enero | 12 | 12 | 24 |
| 2020 Diciembre | 10 | 9 | 19 |
| 2020 Noviembre | 17 | 6 | 23 |
| 2020 Octubre | 4 | 8 | 12 |
| 2020 Septiembre | 16 | 8 | 24 |
| 2020 Agosto | 15 | 9 | 24 |
| 2020 Julio | 9 | 16 | 25 |
| 2020 Junio | 5 | 2 | 7 |
| 2020 Mayo | 7 | 8 | 15 |
| 2020 Abril | 9 | 11 | 20 |
| 2020 Marzo | 8 | 6 | 14 |
| 2020 Febrero | 10 | 7 | 17 |
| 2020 Enero | 12 | 10 | 22 |
| 2019 Diciembre | 22 | 10 | 32 |
| 2019 Noviembre | 8 | 5 | 13 |
| 2019 Octubre | 21 | 10 | 31 |
| 2019 Septiembre | 12 | 8 | 20 |
| 2019 Agosto | 13 | 16 | 29 |
| 2019 Julio | 12 | 29 | 41 |
| 2019 Junio | 35 | 26 | 61 |
| 2019 Mayo | 96 | 67 | 163 |
| 2019 Abril | 39 | 37 | 76 |
| 2019 Marzo | 12 | 18 | 30 |
| 2019 Febrero | 7 | 18 | 25 |
| 2019 Enero | 6 | 10 | 16 |
| 2018 Diciembre | 3 | 5 | 8 |
| 2018 Noviembre | 5 | 7 | 12 |
| 2018 Octubre | 11 | 21 | 32 |
| 2018 Septiembre | 24 | 7 | 31 |
| 2018 Agosto | 8 | 6 | 14 |
| 2018 Julio | 9 | 10 | 19 |
| 2018 Junio | 3 | 7 | 10 |
| 2018 Mayo | 0 | 16 | 16 |
| 2018 Abril | 8 | 6 | 14 |
| 2018 Marzo | 5 | 2 | 7 |
| 2018 Febrero | 2 | 4 | 6 |
| 2018 Enero | 2 | 4 | 6 |
| 2017 Diciembre | 13 | 2 | 15 |
| 2017 Noviembre | 3 | 2 | 5 |
| 2017 Octubre | 6 | 2 | 8 |
| 2017 Septiembre | 10 | 2 | 12 |
| 2017 Agosto | 7 | 2 | 9 |
| 2017 Julio | 6 | 6 | 12 |
| 2017 Junio | 9 | 4 | 13 |
| 2017 Mayo | 6 | 10 | 16 |
| 2017 Abril | 5 | 11 | 16 |
| 2017 Marzo | 10 | 29 | 39 |
| 2017 Febrero | 10 | 3 | 13 |
| 2017 Enero | 8 | 3 | 11 |
| 2016 Diciembre | 7 | 3 | 10 |
| 2016 Noviembre | 16 | 1 | 17 |
| 2016 Octubre | 14 | 4 | 18 |
| 2016 Septiembre | 11 | 1 | 12 |
| 2016 Agosto | 9 | 2 | 11 |
| 2016 Julio | 42 | 2 | 44 |
| 2016 Junio | 94 | 19 | 113 |
| 2016 Mayo | 95 | 33 | 128 |
| 2016 Abril | 65 | 20 | 85 |
| 2016 Marzo | 89 | 26 | 115 |
| 2016 Febrero | 64 | 26 | 90 |
| 2016 Enero | 60 | 33 | 93 |
| 2015 Diciembre | 64 | 35 | 99 |
| 2015 Noviembre | 63 | 21 | 84 |
| 2015 Octubre | 47 | 22 | 69 |
| 2015 Septiembre | 59 | 27 | 86 |
| 2015 Agosto | 111 | 22 | 133 |
| 2015 Julio | 100 | 8 | 108 |
| 2015 Junio | 59 | 14 | 73 |
| 2015 Mayo | 76 | 8 | 84 |
| 2015 Abril | 50 | 22 | 72 |
| 2015 Marzo | 64 | 18 | 82 |
| 2015 Febrero | 43 | 15 | 58 |
| 2015 Enero | 49 | 13 | 62 |
| 2014 Diciembre | 30 | 13 | 43 |
| 2014 Noviembre | 49 | 15 | 64 |
| 2014 Octubre | 59 | 20 | 79 |
| 2014 Septiembre | 87 | 23 | 110 |
| 2014 Agosto | 37 | 18 | 55 |
| 2014 Julio | 47 | 29 | 76 |
| 2014 Junio | 32 | 9 | 41 |
| 2014 Mayo | 33 | 15 | 48 |
| 2014 Abril | 27 | 15 | 42 |
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