An 82-year-old woman presented with worsening heartburn symptoms, with a past history of hypertension, atrial fibrillation and osteoarthritis.
An endoscopy performed locally revealed a nodule arising in a segment of Barrett’s Oesophagus. The biopsy demonstrated high grade dysplasia and she was referred to Dr Jason Dunn for further evaluation. The nodular area was characterised using Narrow Band Imaging, an optical enhancement technique. The lesion was then removed by EMR in one section and confirmed as high grade dysplasia, but no invasive cancer. This was undertaken as a day case under conscious sedation. The remaining Barrett’s segment was then successfully treated with RFA in two sessions, two months apart, also under sedation.
The patient had minimal chest discomfort after the first session, was treated with Paracetamol, and returned to normal eating after 48 hours. Six months after referral, the patient has no residual Barrett’s Oesophagus on follow-up biopsy.
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