Barrett's esophagus other diagnostic studies: Difference between revisions

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===Esophago-gastroduodenoscopy===
===Esophago-gastroduodenoscopy===
* [[Because]] [[barrett’s esophagus]] [[does]] [[not]] [[cause]] [[any]] [[symptoms]], [[many]] [[physicians]] [[recommend]] [[that]] [[adults]] [[older]] [[than]] 40 [[who]] [[have]] [[had]] [[GERD]] [[for]] [[a]] [[number]] [[of]] [[years]] [[undergo]] [[an]] [[endoscopy]] [[and]] [[biopsies]] [[to]] [[check]] [[for]] [[the]] [[condition]].
* Because barrett’s esophagus does not cause any [[symptoms]], many [[physicians]] recommend that adults older than 40 who have had [[GERD]] for a [[number]] of years undergo an [[endoscopy]] and [[biopsies]] to [[check]] for the [[condition]].
* [[Barrett’s esophagus]] [[can]] [[only]] [[be]] [[diagnosed]] [[using]] [[an]] [[upper gastrointestinal (GI) endoscopy]] [[to]] [[obtain]] [[biopsies]] [[of]] [[the]] [[esophagus]]. [[In]] [[an]] [[upper]] [[GI]] [[endoscopy]], [[after]] [[the]] [[patient]] [[is]] [[sedated]], [[the]] [[doctor]] [[inserts]] [[a]] [[flexible]] [[tube]] [[called]] [[an]] [[endoscope]], [[which]] [[has]] [[a]] [[light]] [[and]] [[a]] [[miniature]] [[camera]], [[into]] [[the]] [[esophagus]]. [[If]] [[the]] [[tissue]] [[appears]] [[suspicious]], [[the]] [[doctor]] [[removes]] [[several]] [[small]] [[pieces]] [[using]] [[a]] pincher-like [[device]] [[that]] [[is]] [[passed]] [[through]] [[the]] [[endoscope]]. [[A]] [[pathologist]] [[examines]] [[the]] [[tissue]] [[with]] [[a]] [[microscope]] [[to]] [[determine]] [[the]] [[diagnosis]].
* Barrett’s esophagus can only be diagnosed using an upper gastrointestinal (GI) endoscopy to obtain [[biopsies]] of the [[esophagus]]. In an upper [[GI]] [[endoscopy]], after the [[patient]] is sedated, the doctor inserts a flexible tube called an [[endoscope]], which has a [[light]] and a miniature camera, into the [[esophagus]]. If the [[tissue]] appears suspicious, the doctor removes several small pieces using a pincher-like device that is passed through the [[endoscope]]. A [[pathologist]] examines the [[tissue]] with a [[microscope]] to determine the [[diagnosis]].
* [[The]] [[typical]] [[appearance]] [[is]] [[that]] [[of]] [[salmon]] [[pink]] [[segments]] [[of]] [[columnar epithelium]] [[extending]] [[above]] [[the]] [[GE]] ([[gastroenterology]]) [[junction]], [[into]] [[the]] [[whitish]] [[squamous epithelium]] [[that]] [[is]] [[typically]] [[present]] [[in]] [[the]] [[distal]] [[esophagus]]. [[This]] [[can]] [[be]] [[seen]] [[on]] [[EGD]] ([[esophago-gastroduodenoscopy]]) [[in]] ~ 1 % [[of]] [[all]] [[patients]], [[but]] [[in]] [[up]] [[to]] 20 % [[of]] [[those]] [[with]] [[symptoms]] [[of]] [[GERD]] ([[Gastroesophageal Reflux Disease]]). [[Although]] [[the]] [[diagnosis]] [[can]] [[be]] [[presumed]] [[during]] [[the]] [[EGD]], [[it]] [[needs]] [[to]] [[be]] [[confirmed]] [[by]] [[biopsy]].
* The typical [[appearance]] is that of [[salmon]] pink segments of [[columnar epithelium]] extending above the [[GE]] ([[gastroenterology]]) junction, into the whitish [[squamous epithelium]] that is typically present in the [[distal]] [[esophagus]]. This can be seen on [[EGD]] esophago-gastroduodenoscopy in ~ 1 % of all patients, but in up to 20 % of those with [[symptoms]] of [[GERD]] ([[Gastroesophageal Reflux Disease]]). Although the [[diagnosis]] can be presumed during the [[EGD]], it needs to be confirmed by [[biopsy]].


==Other Diagnostic Studies==
==Other Diagnostic Studies==

Revision as of 19:39, 15 December 2017

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

Overview

There are no other diagnostic studies associated with [disease name].

OR

[Diagnostic study] may be helpful in the diagnosis of [disease name]. Findings suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

Other diagnostic studies for [disease name] include [diagnostic study 1], which demonstrates [finding 1], [finding 2], and [finding 3], and [diagnostic study 2], which demonstrates [finding 1], [finding 2], and [finding 3].

Other Diagnostic Studies

Esophago-gastroduodenoscopy

Other Diagnostic Studies

  • There are no other diagnostic studies associated with [disease name].
  • [Diagnostic study] may be helpful in the diagnosis of [disease name]. Findings suggestive of/diagnostic of [disease name] include:
    • [Finding 1]
    • [Finding 2]
    • [Finding 3]
  • Other diagnostic studies for [disease name] include:
    • [Diagnostic study 1], which demonstrates:
      • [Finding 1]
      • [Finding 2]
      • [Finding 3]
    • [Diagnostic study 2], which demonstrates:
      • [Finding 1]
      • [Finding 2]
      • [Finding 3]

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