Argon Plasma Coagulation in Barrett’s Oesophagus: First Experience from Bangladesh

Abstract

Background: Barrett’s oesophagus is recognized cause of oesophageal carcinoma. Currently different endoscopic treatment modalities are being adopted and evaluated to manage Barrett’s mucosa to prevent subsequent malignant transformation.

Methods: We have recently introduced argon plasma coagulation at endoscopy of upper gastrointestinal tract for Barrett’s oesophagusmanagement in Bangladesh.

Results: The study included 30 Barrett’s oesophagus patients who underwent argon plasma coagulation by a senior Endoscopist. We observed complete eradication of Barrett’s oesophagus in 83.3% cases, while reduction of Barrett’s mucosal length was seen in 90%.

Conclusion: Argon plasma coagulation appears to be safe and effective for Barrett’s oesophagus management. However further work is needed to reach a conclusive statement.