What is Radio-frequency Ablation (RFA)?

RFA is a minimally invasive procedure used to treat dysplastic Barrett's oesophagus, a condition where the lining of the lower oesophagus becomes abnormal, potentially increasing the risk of oesophageal cancer. RFA uses heat generated by radio-frequency energy to remove or destroy the abnormal tissue and encourage the growth of healthy oesophageal lining.

Benefits of RFA:

Effective Treatment: RFA has been shown to effectively treat dysplastic Barrett's oesophagus, reducing the risk of progression to oesophageal cancer.

Minimally Invasive: RFA is a minimally invasive procedure, which means no incisions, less pain, and a faster recovery compared to surgery.

Improved Quality of Life: Successful RFA treatment can improve your quality of life by reducing the risk of cancer and associated symptoms.

Risks and Complications:

While RFA is generally considered safe, there are some risks and potential complications associated with the procedure, including:

Pain and Discomfort: Some patients may experience mild chest discomfort or pain after the procedure, which can be managed with medication.

Bleeding: There is a slight risk of bleeding during or after the procedure, which may require further treatment or intervention.

Strictures: In some cases, RFA can lead to the narrowing of the oesophagus (strictures), which may require additional treatments or dilation.

Infection: Infection is rare but possible, and antibiotics may be necessary if it occurs.

Recovery Time: While RFA offers a faster recovery compared to surgery, you may still need some time to heal and adjust to dietary changes.

Before the RFA Procedure:

Your healthcare team will provide you with specific instructions to prepare for RFA, which may include fasting before the procedure, adjustments to medications, and other dietary restrictions. It is crucial to follow these instructions carefully.

During the RFA Procedure:

RFA is typically performed under sedation or anaesthesia to ensure your comfort.

A thin, flexible tube (endoscope) with an attached RFA device will be inserted through your mouth to reach the affected area in the oesophagus.

The RFA device will deliver controlled radio-frequency energy to treat the abnormal tissue.

After the RFA Procedure:

You will be monitored in a recovery area until the effects of sedation or anaesthesia wear off.

You may experience some chest discomfort or sore throat after the procedure, but this should improve within a few days.

You will be prescribed high dose antacids which need to continue until your first review appointment.

Your healthcare team will provide detailed instructions on post-procedure care, including diet modifications and medication.

Regular follow-up appointments will be scheduled to monitor your progress and assess the success of the RFA treatment.

We understand that you may have concerns or questions about RFA for dysplastic Barrett's oesophagus. Your healthcare provider is here to address any inquiries you may have and provide personalised guidance and support throughout your treatment journey. Our goal is to provide you with the best care possible to ensure your well-being and reduce the risk associated with dysplastic Barrett's oesophagus. If you have any questions or need further clarification, please do not hesitate to reach out to your healthcare provider.