How Is Esophageal Dysplasia Treated?


Quick Answer

Esophageal dysplasia can be treated in a number of ways, including endoscopic resection, Barrx or radiofrequency ablation, esophagectomy, or photodynamic therapy. An endoscopy must be conducted for a pathologist to make a diagnosis of dysplasia, according to the Boston Medical Center.

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The endoscopic resection option involves direct removal of abnormal lesions or tumors from the esophageal lining. The pathologist then examines the removed tissue to determine if the dysplasia has been removed and treated or if it indicates an early esophageal cancer, the Boston Medical Center explains.

Barrx ablation involves burning the dysplasia in the esophagus and replacing it with esophageal cells that appear normal, states the Boston Medical Center. Esophagectomy is the surgical removal of all or part of the esophagus and is usually reserved for the highest risk cases. In photodynamic therapy, the patient receives an injection of a light-sensitive drug into the dysplasia followed by an endoscopy and laser treatment of the esophageal lining.

High grade dysplasia significantly increases a patient’s risk for esophageal adenocarcinoma. In a majority of cases, dysplasia progresses to cancer without any treatment, according to the Boston Medical Center. An individual suffering from dysplasia should consult with his physician to determine the most appropriate course of action.

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