Barrett's esophagus diagnostic study of choice: Difference between revisions
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{{CMG}}; {{AE}} {{AMK}}, {{HQ}} | {{CMG}}; {{AE}} {{AMK}}, {{HQ}} | ||
==Overview== | ==Overview== | ||
The [[diagnosis]] of [[Barrett's esophagus]] is made on [[endoscopy]], when at least 2 of the following [[diagnostic]] [[criteria]] are met | The [[diagnosis]] of [[Barrett's esophagus]] is made on [[endoscopy]], when at least 2 of the following [[diagnostic]] [[criteria]] are met which include presence of [[columnar epithelium]] in the [[distal]] [[esophagus]] and the [[presence]] of [[intestinal]] [[metaplasia]] in the [[columnar epithelium]] lining the distal [[esophagus]]. | ||
==Diagnostic | ==Diagnostic Study of Choice== | ||
*The [[diagnosis]] of [[Barrett's esophagus]] is made when at least 2 of the following [[diagnostic]] [[criteria]] are met:<ref name="pmid22943014">{{cite journal| author=Booth CL, Thompson KS| title=Barrett's esophagus: A review of diagnostic criteria, clinical surveillance practices and new developments. | journal=J Gastrointest Oncol | year= 2012 | volume= 3 | issue= 3 | pages= 232-42 | pmid=22943014 | doi=10.3978/j.issn.2078-6891.2012.028 | pmc=3418534 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22943014 }} </ref><ref name="WangSampliner2008">{{cite journal|last1=Wang|first1=Kenneth K.|last2=Sampliner|first2=Richard E.|title=Updated Guidelines 2008 for the Diagnosis, Surveillance and Therapy of Barrett's Esophagus|journal=The American Journal of Gastroenterology|volume=103|issue=3|year=2008|pages=788–797|issn=00029270|doi=10.1111/j.1572-0241.2008.01835.x}}</ref> | *The [[diagnosis]] of [[Barrett's esophagus]] is made when at least 2 of the following [[diagnostic]] [[criteria]] are met:<ref name="pmid22943014">{{cite journal| author=Booth CL, Thompson KS| title=Barrett's esophagus: A review of diagnostic criteria, clinical surveillance practices and new developments. | journal=J Gastrointest Oncol | year= 2012 | volume= 3 | issue= 3 | pages= 232-42 | pmid=22943014 | doi=10.3978/j.issn.2078-6891.2012.028 | pmc=3418534 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22943014 }} </ref><ref name="WangSampliner2008">{{cite journal|last1=Wang|first1=Kenneth K.|last2=Sampliner|first2=Richard E.|title=Updated Guidelines 2008 for the Diagnosis, Surveillance and Therapy of Barrett's Esophagus|journal=The American Journal of Gastroenterology|volume=103|issue=3|year=2008|pages=788–797|issn=00029270|doi=10.1111/j.1572-0241.2008.01835.x}}</ref> | ||
**There is should be a documentation of [[columnar epithelium]] lining the distal [[esophagus]] while doing the [[endoscopy]]. | **There is should be a documentation of [[columnar epithelium]] lining the distal [[esophagus]] while doing the [[endoscopy]]. | ||
**[[Intestinal]] [[metaplasia]] must be present in the [[columnar epithelium]] on the [[Barrett's esophagus]] [[biopsy]] specimen taken during [[endoscopy]]. | **[[Intestinal]] [[metaplasia]] must be present in the [[columnar epithelium]] on the [[Barrett's esophagus]] [[biopsy]] specimen taken during [[endoscopy]]. | ||
**Endoscopy reveals salmon-pink colored extensions of mucosa that grow into the esophagus above the esophageal gastric junction. | **Endoscopy reveals salmon-pink colored extensions of mucosa that grow into the esophagus above the esophageal gastric junction. | ||
** | **Every 2cm, four quadrant biopsies of the Barrett's esophagus mucosa are taken and submitted to pathology for [[dysplasia]]. | ||
====Video==== | ====Video==== | ||
Latest revision as of 17:57, 21 February 2018
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Barrett's esophagus diagnostic study of choice On the Web |
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American Roentgen Ray Society Images of Barrett's esophagus diagnostic study of choice |
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Risk calculators and risk factors for Barrett's esophagus diagnostic study of choice |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amresh Kumar MD [2], Hamid Qazi, MD, BSc [3]
Overview
The diagnosis of Barrett's esophagus is made on endoscopy, when at least 2 of the following diagnostic criteria are met which include presence of columnar epithelium in the distal esophagus and the presence of intestinal metaplasia in the columnar epithelium lining the distal esophagus.
Diagnostic Study of Choice
- The diagnosis of Barrett's esophagus is made when at least 2 of the following diagnostic criteria are met:[1][2]
- There is should be a documentation of columnar epithelium lining the distal esophagus while doing the endoscopy.
- Intestinal metaplasia must be present in the columnar epithelium on the Barrett's esophagus biopsy specimen taken during endoscopy.
- Endoscopy reveals salmon-pink colored extensions of mucosa that grow into the esophagus above the esophageal gastric junction.
- Every 2cm, four quadrant biopsies of the Barrett's esophagus mucosa are taken and submitted to pathology for dysplasia.
Video
{{#ev:youtube|_KgMKPAsNv0}}
References
- ↑ Booth CL, Thompson KS (2012). "Barrett's esophagus: A review of diagnostic criteria, clinical surveillance practices and new developments". J Gastrointest Oncol. 3 (3): 232–42. doi:10.3978/j.issn.2078-6891.2012.028. PMC 3418534. PMID 22943014.
- ↑ Wang, Kenneth K.; Sampliner, Richard E. (2008). "Updated Guidelines 2008 for the Diagnosis, Surveillance and Therapy of Barrett's Esophagus". The American Journal of Gastroenterology. 103 (3): 788–797. doi:10.1111/j.1572-0241.2008.01835.x. ISSN 0002-9270.