Tratamiento Endoscópico del Esófago de Barrett

• Main Authors: Osvaldo Raiko Seijas Cabrera, Raúl Brizuela Quintanilla, Vivianne Anido Escobar, Elizabeth Montes de Oca, Frank Pérez Triana, Jorge Luis García-Menocal
• Format: Article
• Language: English
• Published: Universidad de Ciencias Médicas de La Habana 2014-02-01
• Series: Revista Habanera de Ciencias Médicas
• Online Access: http://www.revhabanera.sld.cu/index.php/rhab/article/view/275

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La presencia de displasia en estos tejidos incrementa el riesgo de desarrollo de cáncer de esófago. La baja efectividad del tratamiento farmacológico y las altas tasas de morbilidad y mortalidad de la esofagectomía ha contribuido al desarrollo del tratamiento endoscópico. <strong><br />Objetivo:</strong> mostrar las diferentes técnicas endoscópicas que se usan en el tratamiento del<span style="color: #ff0000;"> </span>Esófago de Barrett. <strong><br />Material y Métodos</strong>: se realizó una revisión bibliográfica sobre el tema a través de la consulta de bases de datos de publicaciones biomédicas (PubMed, Hinari, SeCimed, SCiELO, Ebsco, Google, LIS Cuba), para acceder a artículos fundamentalmente de los últimos 5 años. <strong><br />Desarrollo</strong>: se exponen las diferentes modalidades terapéuticas endoscópicas, entre ellas: Coagulación con Argón plasma, Electrocoagulación multipolar, Láser terapia, Crioterapia, Radiofrecuencia, Terapia Fotodinámica, Resección mucosa endoscópica (REM) y Disección submucosa endoscópica (DSE). Todas usadas en el tratamiento del Esófago de Barrett, haciendo énfasis en su efectividad y efectos secundarios. <strong><br />Conclusiones: </strong>la Radiofrecuencia y la Resección endoscópica son en la actualidad las variantes endoscópicas con mejores resultados en el tratamiento del Esófago de Barrett. </span></p><p> </p><p><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: x-small;"><strong>Palabras Clave</strong>: Esófago de Barrett, displasia, modalidades terapéuticas endoscópicas, tratamiento endoscópico. </span></p><hr /><span style="font-size: 12.0pt; line-height: 115%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-fareast-font-family: Calibri; mso-ansi-language: ES; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;"></span><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true" DefSemiHidden="true" DefQFormat="false" DefPriority="99" LatentStyleCount="267"> <w:LsdException Locked="false" Priority="0" 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