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Decide on the Spot

Should I stick to the Plan?

July 09, 2014 | Bjorn Rembacken

In the latest case, Bjorn tackles a patient that has returned after previously undergoing Radiofrequency Ablation.

Watch the video

This patient with a 10cm stretch of Barrett’s found to harbour high-grade dysplasia after several sets of samples has been treated with Radiofrequency Ablation. Three months later she has now returned to assess the response.

Case Question 1

What would you do now?

a) Do nothing, this mucosa is still healing
b) Apply APC to the small amount of Barrett’s remaining
c) Apply further RFA to the remaining Barrett’s
d) Remove the nodule at 12 O’clock by EMR
e) Remove all of the remaining Barrett’s by EMR

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  • About the Author
About the Author

Bjorn Rembacken is at Leeds Teaching Hospitals NHS Trust, Leeds, UK. He was born in Sweden and qualified from Leicester University in 1987. He undertook his postgraduate education in Leicester and in Leeds. His MD was dedicated to inflammatory bowel disease. Dr Rembacken was appointed Consultant Gastroenterologist, Honorary Lecturer at Leeds University and Endoscopy Training Lead in 2005. Follow Bjorn on Twitter @Bjorn_Rembacken

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