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    Between 18% and 30% of patients with Barrett’s esophagus who have severe dysplasia will be found to actually have invasive carcinoma in the specimen, multiple large surgical series document viagra trial pack australia that following esophageal resection. Recent publications have strongly suggested that curtailing reflux decreases the tendency of GERD patients without Barrett to develop Barrett’s esophagus. In addition, reflux control diminishes, if not eliminates completely, the tendency toward dysplastic and/or malignant degeneration of existing Barrett epithelium. This effect is manifested by. 15. Discuss the surgical management of patients with high-grade dysplasia.

    The majority of regression occurs within 7 years after surgery. High-grade dysplasia is defined as the detection in the Barrett epithelium of epithelial abnormalities that could equally be described as carcinoma in situ. • Inducing actual regression of dysplastic to nondysplastic Barrett epithelium • Stabilizing the Barrett epithelium in a nondysplastic state • Allowing a return to normal squamous epithelium.

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