Chronic Gastroesophageal Reflux Disease (GERD) – Long-term acid reflux damages the esophageal lining.
Frequent Acid Exposure – Persistent exposure to stomach acid leads to cellular changes in the esophagus.
Hiatal Hernia – A condition where the stomach pushes through the diaphragm, increasing acid reflux risk.
Obesity – Excess weight puts pressure on the stomach, worsening acid reflux.
Smoking and Alcohol Consumption – These irritate the esophagus and weaken the lower esophageal sphincter.
Genetic Factors – A family history of GERD or Barrett’s esophagus increases the risk.
Endoscopic Surveillance
Radiofrequency Ablation (RFA)
Endoscopic Mucosal Resection (EMR)
Cryotherapy
Surgical Intervention
Endoscopic surveillance is a medical procedure used to monitor patients at risk of developing gastrointestinal diseases, such as Barrett’s esophagus, colorectal cancer, or inflammatory bowel disease. It involves regular endoscopic examinations to detect early abnormalities, allowing timely intervention and treatment. This proactive approach helps prevent disease progression, improves patient outcomes, and reduces the need for invasive procedures. Endoscopic surveillance is especially important for individuals with a history of GI disorders, ensuring continuous monitoring and personalized care based on their risk factors.
Radiofrequency Ablation (RFA) is a minimally invasive procedure used to treat chronic pain, tumors, and certain heart conditions. It works by using heat generated from radio waves to destroy abnormal tissue or disrupt nerve signals causing pain. RFA is commonly used for conditions like arthritis, varicose veins, and liver, kidney, or lung tumors. The procedure is safe, with minimal downtime, making it an effective option for pain relief and tumor management without the need for major surgery.
Endoscopic Mucosal Resection (EMR) is a minimally invasive procedure used to remove small, high-risk lesions in the digestive tract, particularly in the esophagus, stomach, and colon. It is commonly performed to treat early-stage cancers or precancerous growths without requiring major surgery. EMR involves injecting fluid beneath the lesion to lift it from the underlying tissue before cutting it out using specialized instruments. This technique reduces the risk of complications and allows for precise removal while preserving healthy tissue.
Cryotherapy is an advanced endoscopic treatment that uses extreme cold to destroy abnormal esophageal tissue, particularly in conditions like Barrett’s esophagus with dysplasia or early-stage esophageal cancer. During the procedure, liquid nitrogen or carbon dioxide is applied to the affected area, freezing and eliminating unhealthy cells. The body then naturally sheds the dead tissue, allowing healthy tissue to regenerate. Cryotherapy is a safe, repeatable, and effective alternative for patients who are not candidates for more invasive treatments like surgery.
Surgical intervention is considered for severe cases where precancerous or cancerous conditions progress beyond what endoscopic procedures can manage. It may involve esophagectomy, where part or all of the esophagus is removed, or other complex gastrointestinal surgeries. Surgery is usually recommended when the lesion has penetrated deeper layers of tissue or when there is a high risk of metastasis. Although more invasive, modern surgical techniques aim to minimize complications and improve patient recovery, ensuring the best possible long-term outcomes.
For patients without dysplasia, treatment focuses on managing acid reflux:
Endoscopic Treatments for Dysplasia
If dysplasia is detected, treatment options include:
Early detection and treatment significantly reduce the risk of esophageal cancer. Patients should follow their doctor’s recommendations for monitoring and treatment to prevent complications.
Yes, endoscopic treatments like RFA and EMR are safe and effective when performed by experienced specialists at Continental Hospitals.
Most endoscopic procedures take between 30-90 minutes, depending on the severity.
The procedure is performed under sedation, ensuring a painless experience.
Most patients can resume normal activities within 24-48 hours.
Mild throat discomfort and temporary swallowing difficulty may occur but subside within a few days.
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