Barrett's esophagus primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ; Hamid Qazi, MD, BSc [2] Amresh Kumar MD [3]

Overview

Effective measures for the primary prevention of Barrett's esophagus include lifestyle modifications and medical therapy for GERD. Lifestyle mmodificatin include weight loss, head of bed elevation, avoidance of nighttime meals, and elimination of trigger foods such as chocolate, caffeine and alcohol. Medical therapy include the use of proton pump inhibitors.

Primary Prevention

Diagnosis and treatment of GERD may prevent Barrett's esophagus.

Lifestyle Modifications

Lifestyle modifications for prevention of Barrett's esophagus are as follows:^[1]

Weight loss
Head of bed elevation
Avoidance of nighttime meals
Elimination of trigger foods such as chocolate, caffeine and alcohol

Medical Therapy

Effective measures in preventing GERD include the following:^[2]

Proton pump inhibitors
Avoiding foods and beverages that worsen symptoms.
Smoking cessation
Weight loss
Eating frequent and small meals
Avoid lying down for 3 hours after a meal.
Head raising of the bed while sleeping by securing wood blocks under the bedposts not only extra pillows
Elevated body mass index
Intra-abdominal distribution of body fat.^[3]

References

↑ Kaltenbach, Tonya; Crockett, Seth; Gerson, Lauren B. (2006). "Are Lifestyle Measures Effective in Patients With Gastroesophageal Reflux Disease?". Archives of Internal Medicine. 166 (9): 965. doi:10.1001/archinte.166.9.965. ISSN 0003-9926.
↑ DeVault KR, Castell DO, American College of Gastroenterology (2005). "Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease". Am J Gastroenterol. 100 (1): 190–200. doi:10.1111/j.1572-0241.2005.41217.x. PMID 15654800.
↑ Spechler SJ, Sharma P, Souza RF, Inadomi JM, Shaheen NJ (2011). "American Gastroenterological Association medical position statement on the management of Barrett's esophagus". Gastroenterology. 140 (3): 1084–91. doi:10.1053/j.gastro.2011.01.030. PMID 21376940. Unknown parameter |month= ignored (help)

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[KaltenbachCrockett2006-1] Kaltenbach, Tonya; Crockett, Seth; Gerson, Lauren B. (2006). "Are Lifestyle Measures Effective in Patients With Gastroesophageal Reflux Disease?". Archives of Internal Medicine. 166 (9): 965. doi:10.1001/archinte.166.9.965. ISSN 0003-9926.

[pmid15654800-2] DeVault KR, Castell DO, American College of Gastroenterology (2005). "Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease". Am J Gastroenterol. 100 (1): 190–200. doi:10.1111/j.1572-0241.2005.41217.x. PMID 15654800.

[pmid21376940-3] Spechler SJ, Sharma P, Souza RF, Inadomi JM, Shaheen NJ (2011). "American Gastroenterological Association medical position statement on the management of Barrett's esophagus". Gastroenterology. 140 (3): 1084–91. doi:10.1053/j.gastro.2011.01.030. PMID 21376940. Unknown parameter |month= ignored (help)

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