Esophageal Preservation in the Setting of High-Grade Dysplasia and Superficial Cancer

The principle treatment for high-grade dysplasia and superficial esophageal cancer is considered esophagectomy. However, novel technologies and innovations in technique have enabled esophageal preservation by endoscopic management in select patients. The concepts and evidence pertaining to esophageal preservation in early stage malignancy are reviewed in detail. A treatment algorithm based upon the current evidence surrounding esophageal preservation is presented.