HALO Radiofrequency ablation treatment is a new minimally invasive treatment for Barrett’s oesophagus. It has been developed in the last 10 years and was originally developed by a company called BARRX (hence the name). It can be used to treat Barrett’s oesophagus with dysplasia. It can also be used for Barrett’s oesophagus without dysplasia
According to the UK National Institute for Health and Clinical Excellence (NICE), RFA should be offered to all patients with high grade dysplasia as a routine treatment. For patients with low grade dysplasia or non-dysplastic Barrett’s oesophagus, the evidence to support its use is much less clear. In these situations, the treatment should only be done within strict limits (read the NICE guidance).
For patients with high grade dysplasia, this treatment should only be carried out by experts in centres where large numbers of patients are treated. (see the NICE guidance). All our Barrett’s experts work in these specialist centres and are suitably experienced.
In 2013, the British Society of Gastroenterology (BSG) produced new guidelines on the management of Barrett’s oesophagus.
These new BSG guidelines
The crucial question is how successful is RFA?
In the original trials, success depended on what abnormality was being assessed:
The UK HALO Registry
In the UK, Professor Lovat set up a national registry in 2007 to assess the long term success of this new treatment. Since 2011, he has been running this together with Dr Haidry). They published their initial findings in the most important international medical journal for Gastroenterology in 2013.
All medical treatments carry risks. The good news about this treatment is that the risks appear to be much lower than any of the alternatives.
Not everyone is suitable for this treatment. Every case must be considered individually.
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Please remember that BARRX HALO radiofrequency ablation treatment for dysplasia esophagus should be done by experts. We offer this service at our London clinic. If you would like an appointment,, please tell our office staff that you want to see a Barrett’s oesophagus expert. We will make sure you see the right person.