Ablation of Barrett's esophagus with HybridAPC

Indications

  • Low-grade dysplasia (LGD)
  • Remaining Barrett's epithelium with high-grade dysplasia following ESD, EMR

Advantages of ERBE equipment

  • The protective cushion increases the separation from the muscularis
  • Limited APC penetration depth, minimal risk of stricture
  • Effective, inexpensive procedure
  • APC can be applied across surfaces or at individual spots
  • Neighboring healthy epithelium is preserved
  • Targeted APC application is possible, including around corners

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Operation steps
Mucosa elevation

Mucosa elevation

The Barrett mucosa is raised using the high pressure waterjet

Ablation with APC

Ablation with APC

The Barrett mucosa is ablated using APC, alternating with elevation