Case 2: click here for Powerpoint presentation (with voice-over).
do an early radical surgical approach treatment of this patient with multiple visible esophageal endoscopic cancer will avoid lymph node and liver metastasis, and improve the survival of the patient ?
Completely agree with Dr Rabago Torre, this young patient would have had a better opportunity of survival, and a more cost effective approach without all the acrobatics. Having multifocal abnormalities in this very long Barret’s was really a strong indication for radical surgery.
Even after embarking in the endoscopic treatment, giving precedence to the RFA treatment and leaving the second lesion with evidence of HGD and EAC was ill advised.
But anyway this patient had a very clear indication for surgical treatment from the index endoscopy
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