Evidence map›Paper›PMID 41005363›Full record

Trial reportEndoscopy2026

Endoscopic eradication therapy with multifocal cryoballoon ablation for Barrett esophagus-related neoplasia: a prospective European multicenter study.

Charlotte N Frederiks, Anouk Overwater, Torsten Beyna, Horst Neuhaus, Raf Bisschops, Roos E Pouw, Jacques J G H M Bergman, Maximilien Barret, Roberta Maselli, Vinay Sehgal and 2 more

Abstract readMulticenter StudyVideo-Audio MediaClinical Trial
In one paragraph

Trial report in Endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Charlotte N Frederiks *Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.ORCID 0000-0001-7903-1253
Anouk Overwater *Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Torsten BeynaDepartment of Internal Medicine and Gastroenterology, Evangelical Hospital Dusseldorf, Düsseldorf, Germany.ORCID 0000-0003-3071-0428
Horst NeuhausDepartment of Internal Medicine and Gastroenterology, Evangelical Hospital Dusseldorf, Düsseldorf, Germany.
Raf BisschopsDepartment of Gastroenterology and Hepatology, University Hospital Gasthuisberg Leuven, KU Leuven, Leuven, Belgium.ORCID 0000-0002-9994-8226
Roos E PouwDepartment of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Jacques J G H M BergmanDepartment of Gastroenterology and Hepatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Maximilien BarretDepartment of Gastroenterology and Digestive Oncology, Cochin Hospital, Paris, France.
Roberta MaselliEndoscopy Unit, Humanitas Research Hospital, Milan, Italy.
Vinay SehgalDepartment of Gastroenterology and Hepatology, University College London Hospitals, London, United Kingdom of Great Britain and Northern Ireland.
Rehan J HaidryDepartment of Gastroenterology and Hepatology, Cleveland Clinic London, London, United Kingdom of Great Britain and Northern Ireland.
Bas L A M WeustenDepartment of Gastroenterology and Hepatology, St. Antonius Hospital, Nieuwegein, The Netherlands.ORCID 0000-0001-9468-4578

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Focal cryoballoon ablation (FCBA) is a relatively new modality for treatment of Barrett esophagus (BE)-related neoplasia. This study evaluated the efficacy and safety of FCBA for BE. Methods: Patients with BE segments (Prague classification C≤2M≤5) with dysplasia or early cancer were eligible for inclusion. Following endoscopic resection of visible lesions, FCBA was performed at 3-month intervals until complete eradication of BE (maximum five sessions). After ≥2 FCBA sessions, add-on treatment was allowed. Follow-up endoscopy was scheduled at 6 months and annually thereafter. Outcomes were complete eradication of endoscopically visible BE (CE-BE), intestinal metaplasia (CE-IM), and dysplasia (CE-D), durability of treatment response, and adverse events. Results: 107 patients (mean age 65 years, 91 males, median BE C0M2) were included. Endoscopic resection was performed at entry in 65% (69/107). Patients received a median of 2 FCBA treatments. Add-on treatment was performed in 40% (43/107), mainly APC for small remaining islands (38%; 41/107). CE-BE and CE-D were achieved in 94% (101/107; 95%CI 90%–98%) and CE-IM in 91% (97/107; 95%CI 85%–95%), per intention-to-treat analysis. In per-protocol analysis, CE-BE and CE-D was achieved in 100% (101/101; 95%CI 100%–100%), and CE-IM in 96% (97/101; 95%CI 92%–99%). After a median follow-up of 18 months, 96% (97/101; 95%CI 92%–99%) remained free of endoscopically visible BE. Esophageal stricture was the most common adverse event, in 13% (13/101; 95%CI 6%–20%). Conclusion: FCBA was highly effective in selected patients with BE of limited length, although the potential risk for stricture formation warrants further research.

Indexed as

AdenocarcinomaBarrett EsophagusCryosurgeryEsophageal NeoplasmsEsophagoscopyAgedEuropeFemaleHumansMaleMiddle AgedProspective StudiesTreatment Outcome

Identifiers

PMID41005363
PMCPMC13494755

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.