Figure 2.
Hybrid therapy for Barrett’s esophagus. (A) A 71-year-old male with long-segment Barrett’s esophagus (Prague C8M9). (B) Circumferential radiofrequency ablation (RFA) using a balloon RFA catheter was performed. (C and D) Repeat endoscopy at 6 months after two sessions of RFA showed neosquamous epithelium and a small nodule (arrows). (E) Successful endoscopic mucosal resection (EMR) of the nodule was performed using a band ligation and snare resection technique, after injecting with indigocarmine. (F) The mucosal defect after resection showed intact submucosa stained with indigocarmine. Focal RFA of the residual Barrett’s was also performed at this session.
