This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Stepwise radical endoscopic resection versus radiofrequency ablation for Barrett’s oesophagus with high-grade dysplasia or early cancer: a multicentre randomised trial. Gut 2011; 60: 765–773.

Published: 8th September 2011

Authors: van Vilsteren FGI, Pouw RE, Seewald S, Herrero LA, Sondermeijer CMT, Visser M et al.

Conclusion

Both methods were effective: only one of 47 included patients developed recurrent early cancer (after endoscopic resection) at a median follow up of two years. Some 88 per cent of patients developed a stenosis after resection compared to 14 per cent after radiofrequency ablation (P<0.001); the former group required more endoscopic dilatations.

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