Barrett's Esophagus


Diagnosis

Pathophysiology

Treatment

  1. Similar to GERD
  2. Lifestyle changes: avoid late meals, spicy foods, alcohol, tobacco
  3. Medications
  4. Surgical
  5. In future:
Management
LOW-grade dysplasia with High-grade dysplasia
PPI plus surveillance
Radiofrequency ablation
Antireflux surgery plus surveillance
Radiofrequency ablation
Esophagectomy + PPI
Radiofrequency ablation + PPI
Endoscopic mucosal resection + proton-pump inhibitor

 

Disposition

  1. 2002 Am Col of GI guidelines for endoscopic surveillance of Barrett's