1143 - Radiofrequency Ablation in Barrett's Oesophagus with Dysplasia

Page last updated: 26 May 2015

Application Detail



Description of Medical Service

Barrett's oesophagus is a metaplastic change of the lining of the oesophagus, such that the normal squamous epithelium is replaced by specialised or intestinalised columnar epithelium.
The disorder seems to be a complication of chronic gastrooesophageal reflux disease, although asymptomatic individuals might also be affected, and it is a risk factor for the development of oesophageal adenocarcinoma, a cancer with rapidly increasing incidence in developed societies.
An appropriately sized radiofrequency (RF) ablation catheter is selected and introduced over a guidewire in a side-by-side manner with an endoscope. The catheter’s balloon is then inflated and energy applied, circumferentially ablating the epithelium to a depth of less than 1 mm. The catheter is then removed and cleaned, and reintroduced if necessary. The clinician removes the ablated epithelium using irrigation and suction using the endoscope.

Description of Medical Condition


Reason for Application


Medical Service Type


Previous Application Number

Not Applicable

Associated Documentation

Application Form


PICO Confirmation


Assessment Report

Assessment Report (PDF 549 KB)
Assessment Report (Word 1685 KB)

Public Summary Document

Public Summary Document (PDF 67 KB)
Public Summary Document (Word 128 KB)

MSAC One page summary (PDF 20 KB)
MSAC One page summary (Word 32 KB)

Meetings for this Application






2 December 2010