Refluxordination Univ. Doz. Dr. Martin Riegler

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Radiofrequency ablation

Radiofrequency ablation (RFA) is a novel, effective tool for eradication of BE, dysplasia and cancer prevention. RFA is conducted during sedated gastroscopy. The RF energy is delivered to the esophagus using balloon, paddle or via the scope electrodes

Risk factors for Barrett’s esophagus (BE) include:
history of reflux disease (GERD) ± BE for more than 5 years
inflammation of the esophagus
cardiac mucosa with severe inflammation ± polyp formation
hiatal hernia
family history positive for esophageal, gastric or large bowel cancer
PPI administration for more than 6 months
ineffective laparoscopic anti reflux surgery.

Management of Barrett’s esophagus provides:
RFA ± endoscopic mucosal resection (EMR) for BE with dysplasia (=dangerous BE tissue)
laparoscopic anti reflux surgery and subsequent RFA for BE without dysplasia (=less dangerous BE tissue).

I always individually tailor the management of Barrett’s esophagus (BE). Based on the diagnosis obtained from the patient history (symptom severity), endoscopy (inflammation, hernia), histopathology (BE type) I will recommend you personalised treatment.

Feel free to contact me for the management of your Barrett’s esophagus. Let us talk about your symptoms and your Barrett’s esophagus (BE).

For further reading I recommend:

Martin Riegler, Karin Hönig-Robier. The acid taste of success. Top performance without heartburn. Maudrich 2019, Vienna, Austria, EU.

Riegler M. The gastric cardia: what it reveals about our society. European Surgery 2019; 6: 277-281.
Riegler M, Kristo I, Nikolic M, et al. Update on the management of Barrett‘s esophagus in Austria. Eur Surg 2017; 49(6): 282-287.

Kristo I, Schoppmann SF, Riegler M, et al. Austrian expert panel recommendation for radiofrequency ablation of Barrett‘s esophagus. European Surgery 2015; 47(6): 319-23.

Lenglinger J, Riegler M, Cosentini E, et al. Review on the annual cancer risk of Barrett‘s esophagus in persons with symptoms of gastroesophageal reflux disease. Anticancer Res 2012; 32(12): 5465-73.

Rieder E, Riegler M, Simic AP, et al. Alternative therapies for GERD: a way to personalized antireflux surgery. Ann N Y Acad Sci 2018 ahead of print.

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