VLE for Post-Treatment Assessment - Case Study

Patient History
This patient was originally referred with nodular esophageal disease that was endoscopically visible at the Castro-Esophageal Junction (CEJ). The area was treated using combination Cryotherapy and Endoscopic Mucosal Resection (EMRJ.  (Figures 1-3)

Pathology of the EMR sample was positive for Adenocarcinoma (Figure 4)

A subsequent surveillance ECD showed the previous EMR site, a normal GEJ. and normal distal esophageal lining. Random biopsies were taken of the treated area and were negative for dysplasia.

This procedure was a second follow-up surveillance exam with the intent to use Advanced OCT to potentially aid in the targeting and localization of any abnormal areas.