Barrett's esophagus primary prevention: Difference between revisions

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{{Barrett's esophagus}}
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==Overview==
==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==
==Primary Prevention==


Diagnosis and treatment of [[GERD]] may prevent Barrett's esophagus.
[[Diagnosis]] and treatment of [[GERD]] may prevent [[Barrett's esophagus]].
 
====Lifestyle Modifications====
Lifestyle modifications for prevention of Barrett's esophagus are as follows:<ref name="KaltenbachCrockett2006">{{cite journal|last1=Kaltenbach|first1=Tonya|last2=Crockett|first2=Seth|last3=Gerson|first3=Lauren B.|title=Are Lifestyle Measures Effective in Patients With Gastroesophageal Reflux Disease?|journal=Archives of Internal Medicine|volume=166|issue=9|year=2006|pages=965|issn=0003-9926|doi=10.1001/archinte.166.9.965}}</ref>
 
*Weight loss
*Head of bed elevation
*Avoidance of nighttime meals
*Elimination of trigger foods such as chocolate, caffeine and alcohol


Control of modifiable risk factors:
====Medical Therapy====
* Chronic GERD
Effective measures in preventing GERD include the following:<ref name="pmid15654800">{{cite journal| author=DeVault KR, Castell DO, American College of Gastroenterology| title=Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease. | journal=Am J Gastroenterol | year= 2005 | volume= 100 | issue= 1 | pages= 190-200 | pmid=15654800 | doi=10.1111/j.1572-0241.2005.41217.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15654800  }} </ref>
* Hiatal hernia
*Proton pump inhibitors
* Elevated body mass index
* Avoiding foods and beverages that worsen symptoms.
* Intra-abdominal distribution of body fat.<ref name="pmid21376940">{{cite journal |author=Spechler SJ, Sharma P, Souza RF, Inadomi JM, Shaheen NJ |title=American Gastroenterological Association medical position statement on the management of Barrett's esophagus |journal=Gastroenterology |volume=140 |issue=3 |pages=1084–91 |year=2011 |month=March |pmid=21376940 |doi=10.1053/j.gastro.2011.01.030 |url=}}</ref>
* [[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]].<ref name="pmid21376940">{{cite journal |author=Spechler SJ, Sharma P, Souza RF, Inadomi JM, Shaheen NJ |title=American Gastroenterological Association medical position statement on the management of Barrett's esophagus |journal=Gastroenterology |volume=140 |issue=3 |pages=1084–91 |year=2011 |month=March |pmid=21376940 |doi=10.1053/j.gastro.2011.01.030 |url=}}</ref>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Needs content]]
[[Category:Gastroenterology]]


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Latest revision as of 15:46, 6 February 2018

Barrett's Esophagus Microchapters

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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

  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.
  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.
  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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