Applications

1143 – Radiofrequency Ablation in Barrett's Oesophagus with Dysplasia

Find out about the service or technology in this application and the medical condition it addresses. You can also view the application documents, the deadlines for providing consultation input and the outcome of the application when the MSAC process is complete.

  • Status Complete
  • Type New application
  • Pre-PASC consultation -
  • Pre-MSAC consultation -
  • Outcome Not supported

Application details

Reason for application

-

Service or technology in this application

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.

Medical condition this application addresses

-

Meetings to consider this application

  • PASC meeting: -
  • ESC meeting: -
  • MSAC meeting: 2 December 2010