RFA
Radiofrequency Ablation for Barrett’s Esophagus
Radiofrequency ablation (RFA) is a procedure using high-energy radio waves to burn and destroy pre-cancerous cells. This method has been used to treat various conditions in different parts of the body, including precancerous conditions of the esophagus. Special devices are made to deliver the energy in different settings. RFA is performed during the Esophagogastroduodenoscopy (EGD) procedure.
What To Expect During the Procedure
The inside of the upper GI tract is visualized with an instrument called an endoscope. An endoscope is a thin, smooth, flexible, light tube that is equipped with a tiny video camera. The endoscope is passed through your mouth and advanced into the upper part of your GI tract. During this time, the video shows up on a screen so the doctor may examine the lining of the esophagus, stomach, and duodenum. Instruments can be passed through a channel in the endoscope to perform radiofrequency ablation (RFA). Sedatives will be administered during the exam to help you tolerate the procedure during which you will remain breathing on your own.
What To Expect After the Procedure
Once the procedure is completed, you will recover in the recovery area for 30 minutes. During that time, your vital signs will be captured, continuation of fluids will be administered, and your provider will come speak with you about your procedure findings. Once you are discharged, you are not to drive, consume alcohol, or make any important decisions for the following 12 hours.
Like all procedures, there are risks and side effects. Complications are rare, but can include bleeding, puncture of the stomach lining, or a sedative reaction. Some patients report a mild to intense chest pain, which improves gradually for several days following the procedure. Medications will be prescribed and advised by your gastroenterologist prior to discharge. You will be provided with a written summary of the procedure, discharge instructions explaining your recovery, and contact information for follow-up questions or concerns.