Publication

Randomized trial on endoscopic resection-cap versus multiband mucosectomy for piecemeal endoscopic resection of early Barrett's neoplasia

Pouw, R. E., van Vilsteren, F. G. I., Peters, F. P., Herrero, L. A., ten Kate, F. J. W., Visser, M., Schenk, B. E., Schoon, E. J., Peters, F. T. M., Houben, M., Bisschops, R., Weusten, B. L. A. M. & Bergman, J. J. G. H. M., Jul-2011, In : Gastrointestinal endoscopy. 74, 1, p. 35-43 9 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Pouw, R. E., van Vilsteren, F. G. I., Peters, F. P., Herrero, L. A., ten Kate, F. J. W., Visser, M., ... Bergman, J. J. G. H. M. (2011). Randomized trial on endoscopic resection-cap versus multiband mucosectomy for piecemeal endoscopic resection of early Barrett's neoplasia. Gastrointestinal endoscopy, 74(1), 35-43. https://doi.org/10.1016/j.gie.2011.03.1243

Author

Pouw, Roos E. ; van Vilsteren, Frederike G. I. ; Peters, Femke P. ; Herrero, Lorenza Alvarez ; ten Kate, Fiebo J. W. ; Visser, Mike ; Schenk, Boudewijn E. ; Schoon, Erik J. ; Peters, Frans T. M. ; Houben, Martin ; Bisschops, Raf ; Weusten, Bas L. A. M. ; Bergman, Jacques J. G. H. M. / Randomized trial on endoscopic resection-cap versus multiband mucosectomy for piecemeal endoscopic resection of early Barrett's neoplasia. In: Gastrointestinal endoscopy. 2011 ; Vol. 74, No. 1. pp. 35-43.

Harvard

Pouw, RE, van Vilsteren, FGI, Peters, FP, Herrero, LA, ten Kate, FJW, Visser, M, Schenk, BE, Schoon, EJ, Peters, FTM, Houben, M, Bisschops, R, Weusten, BLAM & Bergman, JJGHM 2011, 'Randomized trial on endoscopic resection-cap versus multiband mucosectomy for piecemeal endoscopic resection of early Barrett's neoplasia', Gastrointestinal endoscopy, vol. 74, no. 1, pp. 35-43. https://doi.org/10.1016/j.gie.2011.03.1243

Standard

Randomized trial on endoscopic resection-cap versus multiband mucosectomy for piecemeal endoscopic resection of early Barrett's neoplasia. / Pouw, Roos E.; van Vilsteren, Frederike G. I.; Peters, Femke P.; Herrero, Lorenza Alvarez; ten Kate, Fiebo J. W.; Visser, Mike; Schenk, Boudewijn E.; Schoon, Erik J.; Peters, Frans T. M.; Houben, Martin; Bisschops, Raf; Weusten, Bas L. A. M.; Bergman, Jacques J. G. H. M.

In: Gastrointestinal endoscopy, Vol. 74, No. 1, 07.2011, p. 35-43.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Pouw RE, van Vilsteren FGI, Peters FP, Herrero LA, ten Kate FJW, Visser M et al. Randomized trial on endoscopic resection-cap versus multiband mucosectomy for piecemeal endoscopic resection of early Barrett's neoplasia. Gastrointestinal endoscopy. 2011 Jul;74(1):35-43. https://doi.org/10.1016/j.gie.2011.03.1243


BibTeX

@article{f0b82a60686d40c6870421278069b3aa,
title = "Randomized trial on endoscopic resection-cap versus multiband mucosectomy for piecemeal endoscopic resection of early Barrett's neoplasia",
abstract = "Background: Endoscopic resection (ER) is an important treatment for high-grade intraepithelial neoplasia and early cancer in Barrett's esophagus. ER-cap requires submucosal lifting and positioning of a snare in the cap, making it technically demanding and laborious. Multiband mucosectomy (MBM) uses a modified variceal band ligator and requires no submucosal lifting or positioning of a snare.Objective: To compare ER-cap and MBM for piecemeal ER of early Barrett's neoplasia.Design: Randomized, controlled trial.Setting: Tertiaiy-care and community-care centers.Patients: This study involved 84 patients (64 men; median age 70 years) undergoing piecemeal ER of Barrett's neoplasia.Intervention: Piecemeal ER was performed by using ER-cap (n = 42) or MBM (n = 42).Main Outcome Measurements: Safety, efficacy, procedure time, costs.Results: Procedure time (34 vs 50 minutes; P = .02) and costs ((sic)240 vs (sic)322; PLimitations: Potential bias because of different levels of experience among participating endoscopists.Conclusion: Piecemeal ER with MBM is faster and cheaper than with ER-cap. Despite the lack of submucosal lifting, MBM appears not to be associated with more perforations. Although MBM results in slightly smaller specimens, the clinical relevance of this may be limited because depth of resections does not differ between both techniques. MBM may thus be preferred for piecemeal ER of early Barrett's neoplasia. (Clinical trial registration number: NTR1435.) (Gastrointest Endosc 2011;74:35-43.)",
keywords = "HIGH-GRADE DYSPLASIA, EARLY-STAGE CANCER, RADIOFREQUENCY ABLATION, MUCOSAL RESECTION, ESOPHAGUS, ADENOCARCINOMA, ERADICATION, LESIONS",
author = "Pouw, {Roos E.} and {van Vilsteren}, {Frederike G. I.} and Peters, {Femke P.} and Herrero, {Lorenza Alvarez} and {ten Kate}, {Fiebo J. W.} and Mike Visser and Schenk, {Boudewijn E.} and Schoon, {Erik J.} and Peters, {Frans T. M.} and Martin Houben and Raf Bisschops and Weusten, {Bas L. A. M.} and Bergman, {Jacques J. G. H. M.}",
year = "2011",
month = "7",
doi = "10.1016/j.gie.2011.03.1243",
language = "English",
volume = "74",
pages = "35--43",
journal = "Gastrointestinal endoscopy",
issn = "0016-5107",
publisher = "MOSBY-ELSEVIER",
number = "1",

}

RIS

TY - JOUR

T1 - Randomized trial on endoscopic resection-cap versus multiband mucosectomy for piecemeal endoscopic resection of early Barrett's neoplasia

AU - Pouw, Roos E.

AU - van Vilsteren, Frederike G. I.

AU - Peters, Femke P.

AU - Herrero, Lorenza Alvarez

AU - ten Kate, Fiebo J. W.

AU - Visser, Mike

AU - Schenk, Boudewijn E.

AU - Schoon, Erik J.

AU - Peters, Frans T. M.

AU - Houben, Martin

AU - Bisschops, Raf

AU - Weusten, Bas L. A. M.

AU - Bergman, Jacques J. G. H. M.

PY - 2011/7

Y1 - 2011/7

N2 - Background: Endoscopic resection (ER) is an important treatment for high-grade intraepithelial neoplasia and early cancer in Barrett's esophagus. ER-cap requires submucosal lifting and positioning of a snare in the cap, making it technically demanding and laborious. Multiband mucosectomy (MBM) uses a modified variceal band ligator and requires no submucosal lifting or positioning of a snare.Objective: To compare ER-cap and MBM for piecemeal ER of early Barrett's neoplasia.Design: Randomized, controlled trial.Setting: Tertiaiy-care and community-care centers.Patients: This study involved 84 patients (64 men; median age 70 years) undergoing piecemeal ER of Barrett's neoplasia.Intervention: Piecemeal ER was performed by using ER-cap (n = 42) or MBM (n = 42).Main Outcome Measurements: Safety, efficacy, procedure time, costs.Results: Procedure time (34 vs 50 minutes; P = .02) and costs ((sic)240 vs (sic)322; PLimitations: Potential bias because of different levels of experience among participating endoscopists.Conclusion: Piecemeal ER with MBM is faster and cheaper than with ER-cap. Despite the lack of submucosal lifting, MBM appears not to be associated with more perforations. Although MBM results in slightly smaller specimens, the clinical relevance of this may be limited because depth of resections does not differ between both techniques. MBM may thus be preferred for piecemeal ER of early Barrett's neoplasia. (Clinical trial registration number: NTR1435.) (Gastrointest Endosc 2011;74:35-43.)

AB - Background: Endoscopic resection (ER) is an important treatment for high-grade intraepithelial neoplasia and early cancer in Barrett's esophagus. ER-cap requires submucosal lifting and positioning of a snare in the cap, making it technically demanding and laborious. Multiband mucosectomy (MBM) uses a modified variceal band ligator and requires no submucosal lifting or positioning of a snare.Objective: To compare ER-cap and MBM for piecemeal ER of early Barrett's neoplasia.Design: Randomized, controlled trial.Setting: Tertiaiy-care and community-care centers.Patients: This study involved 84 patients (64 men; median age 70 years) undergoing piecemeal ER of Barrett's neoplasia.Intervention: Piecemeal ER was performed by using ER-cap (n = 42) or MBM (n = 42).Main Outcome Measurements: Safety, efficacy, procedure time, costs.Results: Procedure time (34 vs 50 minutes; P = .02) and costs ((sic)240 vs (sic)322; PLimitations: Potential bias because of different levels of experience among participating endoscopists.Conclusion: Piecemeal ER with MBM is faster and cheaper than with ER-cap. Despite the lack of submucosal lifting, MBM appears not to be associated with more perforations. Although MBM results in slightly smaller specimens, the clinical relevance of this may be limited because depth of resections does not differ between both techniques. MBM may thus be preferred for piecemeal ER of early Barrett's neoplasia. (Clinical trial registration number: NTR1435.) (Gastrointest Endosc 2011;74:35-43.)

KW - HIGH-GRADE DYSPLASIA

KW - EARLY-STAGE CANCER

KW - RADIOFREQUENCY ABLATION

KW - MUCOSAL RESECTION

KW - ESOPHAGUS

KW - ADENOCARCINOMA

KW - ERADICATION

KW - LESIONS

U2 - 10.1016/j.gie.2011.03.1243

DO - 10.1016/j.gie.2011.03.1243

M3 - Article

VL - 74

SP - 35

EP - 43

JO - Gastrointestinal endoscopy

JF - Gastrointestinal endoscopy

SN - 0016-5107

IS - 1

ER -

ID: 5360326