Table 2.
Cryotherapy in esophageal cancer
| Author (yr) | No. of patients | Cryotherapy system used | Results | Adverse events |
| Cryotherapy in EAC | ||||
| Greenwald et al[29] (2010) | 79 (49 completed the treatment) | Low-pressure liquid nitrogen (< 5 psi) cryotherapy system | CE-D in 32%. | Benign strictures (12.6%), pain post treatment (25.3%) |
| Tsai et al[30] (2017) | 88 | Low-pressure liquid nitrogen (< 5 psi) cryotherapy system | CE of intraluminal disease in 76.3% T1a, 45.8% T1b, 66.2% T1, and 6.7% T2 | Abdominal pain (19.3%), dysphagia (10.2%), sore throat (9%), and chest pain (8%) |
| Kachaamy et al[32] (2018) | 49 | Low-pressure liquid nitrogen system (CryoSpray Ablation System; CSA Medical, Inc, Lexington, Mass) | Improvement in mean dysphagia score | 2% (1) developed a severe intra-procedural perforation, 2% (1) developed a benign stricture requiring dilation. |
| Cryotherapy in SCC | ||||
| Cash et al[33] (2007) | 1 | Liquid nitrogen cryospray ablation | 100% CE-D | Stricture development |
| Canto et al[34] (2018) | 10 | Nitrous oxide (CbFAS) | 100% CE-D in LGIN, HGIN, SCC | Post-procedure pain (40%), esophageal stricture (20%) |
EAC: Esophageal adenocarcinoma; CE-D: Complete eradication of dysplasia; CE: Complete eradication; CSA: Cryospray ablation; SCC: Squamous cell carcinoma; LGIN: Low-grade intraepithelial neoplasia; HGIN: High-grade intraepithelial neoplasia; CbFAS: Cryoballoon focal ablation system.