<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-8178</journal-id>
<journal-title><![CDATA[Jornal Português de Gastrenterologia ]]></journal-title>
<abbrev-journal-title><![CDATA[J Port Gastrenterol.]]></abbrev-journal-title>
<issn>0872-8178</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Gastrenterologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-81782008000200004</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Mucosectomia endoscópica de neoplasia superficial em esófago de barrett]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nobre]]></surname>
<given-names><![CDATA[S. Rito]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabral]]></surname>
<given-names><![CDATA[J. E. Pina]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Portela]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amaro]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cipriano]]></surname>
<given-names><![CDATA[M. A.]]></given-names>
</name>
<xref ref-type="aff" rid="A02"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sofia]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gouveia]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leitão]]></surname>
<given-names><![CDATA[M. Correia]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A02">
<institution><![CDATA[,HUC - Hospitais da Universidade de Coimbra Serviço de Anatomia Patológica ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="A01">
<institution><![CDATA[,HUC - Hospitais da Universidade de Coimbra Serviço de Gastrenterologia ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2008</year>
</pub-date>
<volume>15</volume>
<numero>2</numero>
<fpage>71</fpage>
<lpage>75</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-81782008000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-81782008000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-81782008000200004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Os autores apresentam o caso de um doente do sexo masculino, de 80 anos, com neoplasia intra-epitelial de alto grau /carcinoma in situ em esófago de Barrett, submetida a mucosectomia com o “kit” Duette® DT-6-5F (Cook, EUA). Ao cabo de 6 meses de seguimento, o doente mantém-se assintomático e sem displasia nas biopsias de controlo. Salientam-se as características deste sistema, recentemente disponível no mercado, e discutem-se as possibilidades de abordagem terapêutica destes casos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[The authors present a case of a 80-year-old man with high degree epithelial neoplasia/carcinoma in situ in Barrett´s esophagus, treated by endoscopic mucosal resection with Duette® DT-6-5F system (Cook, USA). After 6 months of follow-up, the patient is assymptomatic and presents no dysplasia in control biopsies. We reinforce the characteristics of this system, which was recently introduced, and discuss the therapeutic options in these cases.]]></p></abstract>
</article-meta>
</front><body><![CDATA[ <p><b>Mucosectomia endosc&oacute;pica de neoplasia superficial em es&oacute;fago    de barrett</b></p>      <p><b>&nbsp;</b></p>      <p>S. Rito Nobre <sup><a href="#1">1</a><a name="top1"></a></sup>, J. E. Pina    Cabral <sup><a href="#1">1</a></sup><sup><a name="top1"></a></sup>, F. Portela    <sup><a href="#1">1</a></sup><sup><a name="top1"></a></sup>, P. Amaro <sup><a href="#1">1</a><a name="top1"></a></sup>,    M. A. Cipriano <sup><a href="#2">2</a></sup><a name="top2"></a>, C. Sofia <sup><a href="#1">1</a><a name="top1"></a></sup>,    H. Gouveia <sup><a href="#1">1</a><a name="top1"></a></sup>, M. Correia Leit&atilde;o    <sup><a href="#1">1</a><a name="top1"></a></sup></p>      <p><b>&nbsp;</b></p>     <p>&nbsp;</p>      <p><b>Resumo</b></p>      <p>Os autores apresentam o caso de um doente do sexo masculino, de 80 anos, com    neoplasia intra-epitelial de alto grau /carcinoma <i>in situ </i>em esófago    de Barrett, submetida a mucosectomia com o “kit” Duette® DT-6-5F (Cook, EUA).    Ao cabo de 6 meses de seguimento, o doente mantém-se assintomático e sem displasia    nas biopsias de controlo. Salientam-se as características deste sistema, recentemente    disponível no mercado, e discutem-se as possibilidades de abordagem terapêutica    destes casos.</p>      <p><b>&nbsp;</b></p>     <p>&nbsp;</p>      <p><b>Summary</b></p>      ]]></body>
<body><![CDATA[<p>The authors present a case of a 80-year-old man with high degree epithelial    neoplasia/carcinoma <i>in situ </i>in Barrett´s esophagus, treated by endoscopic    mucosal resection with Duette® DT-6-5F system (Cook, USA). After 6 months of    follow-up, the patient is assymptomatic and presents no dysplasia in control    biopsies. We reinforce the characteristics of this system, which was recently    introduced, and discuss the therapeutic options in these cases.</p>      <p>&nbsp;</p>      <p>&nbsp;</p>      <p>Texto Completo disponível apenas em PDF</p>      <p>Full text only available in PDF format</p>      <p>&nbsp;</p>      <p>&nbsp;</p>     <p><b>Bibliografia</b></p>      <p><b>&nbsp;</b></p>      <!-- ref --><p>1. Ell C, May A, Gossner L, Pech O, Gunter E, Mayer G, et al. Endoscopic mucosal resection of early cancer and high grade dysplasia in Barrett’s esophagus. Gastroenterology 2000; 118: 670-7.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000022&pid=S0872-8178200800020000400001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><p>2. Sampliner RE, The Practice Parameters Committee of the American College of Gastroenterology. Updated Guidelines for the Diagnosis, Surveillance, and Therapy of Barrett´s Esophagus. Am J Gastroenterol 2002; 97: 1888-94.</p>      <p>3. Stein HJ, Feith M, Mueller J, Werner M, Siewert JR. Limited resection for early adenocarcinoma in Barrett’s esophagus. Ann Surg 2000; 232: 733-42.</p>      <p>4. Ell C, May A, Pech O, Gossner L, Guenter E, Behrens A, et al. Curative endoscopic resection of early esophageal adenocarcinomas (Barrett’s cancer). Gastrointest Endosc 2007; 65: 3-10.</p>      <p>5. Seewald S, Akaraviputh T, Seitz U, Brand B, Groth S, Mendoza G, et al. Circumferential EMR and complete removal of Barrett´s epithelium: a new approach to management of Barrett´s esophagus containing high-grade intraepithelial neoplasia and intramucosal carcinoma. Gastrointest Endosc 2003; 57: 854-9.</p>      <p>6. Soehendra N, Seewald S, Groth S, Omar S, Seitz U, Zhong Y, et al. Use of modified multiband ligator facilitates circunferencial endoscopic mucosal resection in Barrett’s esophagus. Gastrointest Endosc 2006; 63: 847-52.</p>      <p>7. Peters FP, Kara MA, Curvers WL, Rosmolen WD, Fockens P, Krishnadath KK, et al. Multiband mucosectomy for endoscopic resection of Barrett´s esophagus: feasibility study with matched historical controls. Eur J Gastroenterol Hepatol 2007; 19: 311-15.</p>      <p>8. Larghi A, Lightdale CJ, Memeo L, Bhagat G, Okpara N, Rotterdam H. EUS followed by EMR for staging of high-grade dysplasia and early cancer in Barrett´s esophagus. Gastrointest Endosc 2005; 62: 16-23.</p>      <p>9. Bergman JJ. Endoscopic treatment of high-grade intraepithelial neoplasia and early cancer in Barrett esophagus. Best Pract Res Clin Gastroenterol 2005; 19: 889-907.</p>      <p>10. Thomas T, Richards CJ, de Caestecker JS, Robinson RJ. Highgrade dysplasia in Barrett´s oesophagus: natural history and review of clinical practice. Aliment Pharmacol Ther 2005; 21: 747-55.</p>      <p>11. Egger K, Werner M, Meining A, Ott R, Allescher H-D, Hofler H,  et al. Biopsy surveillance is still necessary in patients with Barrett´s oesophagus despite new endoscopic imaging techniques. Gut 2003; 52: 18-23.</p>      ]]></body>
<body><![CDATA[<p>12. Falk GW, Rice TW, Goldblum JR, Richter JE. Jumbo biopsy forceps protocol still misses unsuspected cancer in Barrett´s esophagus with high-grade dysplasia. Gastrointest Endosc 1999; 49: 170-6.</p>      <p>13. Messmann H, Probst A. Narrow band imaging in Barrett´s esophagus – where are we standing? Gastrointest Endosc 2007; 65: 47-9.</p>      <p>14. Peters F, Kara M, Rosmolen W, Aalders M, Ten Kate F, Krishnadath K, et al. Poor results of 5-aminolevulinic acid-photodynamic therapy for residual high-grade dysplasia and early cancer in Barrett esophagus after endoscopic resection. Endoscopy 2005; 37: 418-24.</p>      <p>15. Sharma VK, Wang KK, Overholt BF, Lightdale CJ, Fennerty MB, Dean PJ, et al. Balloon-based, circumferential, endoscopic radiofrequency ablation of Barrett’s esophagus: 1-year follow-up of 100 patients. Gastrointest Endosc 2007; 65: 185-95.</p>      <p>&nbsp;</p>     <p>&nbsp;</p>     <p>(<a name="1"></a><a href="#top1">1</a>) Serviço de Gastrenterologia.</p>     <p>(<a name="2"></a><a href="#top2">2</a>) Serviço de Anatomia Patológica.</p>     <p>Hospitais da Universidade de Coimbra, Portugal.</p>     <p>&nbsp;</p>     ]]></body>
<body><![CDATA[<p><b>Correspondência</b>:</p>     <p>Sónia Rito Nobre</p>     <p>Serviço de Gastrenterologia</p>     <p>Hospitais da Universidade de Coimbra</p>     <p>Avenida Bissaya Barreto e Praceta Mota Pinto</p>     <p>3000-075 Coimbra</p>     <p>Tel.: (+351) 239 400 483</p>     <p>Fax: (+351) 239 701 517</p>     <p><i>e-mail: </i><a href="mailto:soninobre@hotmail.com">soninobre@hotmail.com</a></p>     <p align="right"><i>Recebido para publicação: 21/08/2007</i></p>     ]]></body>
<body><![CDATA[<p align="right"><i>Aceite para publicação: 29/02/2008</i></p>         ]]></body><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ell]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[May]]></surname>
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</name>
<name>
<surname><![CDATA[Gossner]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Pech]]></surname>
<given-names><![CDATA[O]]></given-names>
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<name>
<surname><![CDATA[Gunter]]></surname>
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<name>
<surname><![CDATA[Mayer]]></surname>
<given-names><![CDATA[G]]></given-names>
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</person-group>
<article-title xml:lang="en"><![CDATA[Endoscopic mucosal resection of early cancer and high grade dysplasia in Barrett’s esophagus]]></article-title>
<source><![CDATA[Gastroenterology]]></source>
<year>2000</year>
<volume>118</volume>
<page-range>670-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
