Barrett's esophagus history and symptoms: Difference between revisions
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==History== | ==History== | ||
* The ususal history is suggestive for GERD clinical manifestations: | |||
# Heartburn (pyrosis): burning sensations in the retrosternal area,.<ref name="pmid16928254">{{cite journal |author=Vakil N, van Zanten SV, Kahrilas P, Dent J, Jones R |title=The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus |journal=Am. J. Gastroenterol. |volume=101 |issue=8 |pages=1900–20; quiz 1943 |year=2006 |month=August |pmid=16928254 |doi=10.1111/j.1572-0241.2006.00630.x |url=}}</ref>most commpnly after eating. | |||
# Regurgitation: flow of refluxed gastric content into mouth sometimes mixed with undigested food.<ref name="pmid16928254">{{cite journal |author=Vakil N, van Zanten SV, Kahrilas P, Dent J, Jones R |title=The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus |journal=Am. J. Gastroenterol. |volume=101 |issue=8 |pages=1900–20; quiz 1943 |year=2006 |month=August |pmid=16928254 |doi=10.1111/j.1572-0241.2006.00630.x |url=}}</ref> | |||
# Dysphagia: potentially suggestive of a stricture.<ref name="pmid15290658">{{cite journal |author=Vakil NB, Traxler B, Levine D |title=Dysphagia in patients with erosive esophagitis: prevalence, severity, and response to proton pump inhibitor treatment |journal=Clin. Gastroenterol. Hepatol. |volume=2 |issue=8 |pages=665–8 |year=2004 |month=August |pmid=15290658 |doi= |url=}}</ref> | |||
# Chest pain: mimicking angina pectoris, postprandial, squeezing and burning, substernal, lasting minutes to hours, awakens from sleep, exacerabated by stress, resolves spontaneously or with antiacids.<ref name="pmid8682579">{{cite journal |author=Richter JE |title=Typical and atypical presentations of gastroesophageal reflux disease. The role of esophageal testing in diagnosis and management |journal=Gastroenterol. Clin. North Am. |volume=25 |issue=1 |pages=75–102 |year=1996 |month=March |pmid=8682579 |doi= |url=}}</ref> | |||
# Globus sensation: sensation of a lump in the throat | |||
# Odynophagia: if present ususally indicates the presence of an ulcer. | |||
# Less commonly: bronchospasms, laryngitis, chronic cough, hypersalivation, nausea. | |||
* Patients can also by asymptomatic. | |||
==Symptoms== | ==Symptoms== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History
- The ususal history is suggestive for GERD clinical manifestations:
- Heartburn (pyrosis): burning sensations in the retrosternal area,.[1]most commpnly after eating.
- Regurgitation: flow of refluxed gastric content into mouth sometimes mixed with undigested food.[1]
- Dysphagia: potentially suggestive of a stricture.[2]
- Chest pain: mimicking angina pectoris, postprandial, squeezing and burning, substernal, lasting minutes to hours, awakens from sleep, exacerabated by stress, resolves spontaneously or with antiacids.[3]
- Globus sensation: sensation of a lump in the throat
- Odynophagia: if present ususally indicates the presence of an ulcer.
- Less commonly: bronchospasms, laryngitis, chronic cough, hypersalivation, nausea.
- Patients can also by asymptomatic.
Symptoms
Barrett's esophagus itself does not cause symptoms. The acid reflux that causes Barrett's esophagus results in symptoms of heartburn.
The change from normal to premalignant cells that indicates Barrett's esophagus does not cause any particular symptoms. However, warning signs that should not be ignored include:
- Frequent and longstanding heartburn
- Trouble swallowing (dysphagia)
- Vomiting blood
- Pain under the breastbone where the esophagus meets the stomach
- Unintentional weight loss because eating is painful
References
- ↑ 1.0 1.1 Vakil N, van Zanten SV, Kahrilas P, Dent J, Jones R (2006). "The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus". Am. J. Gastroenterol. 101 (8): 1900–20, quiz 1943. doi:10.1111/j.1572-0241.2006.00630.x. PMID 16928254. Unknown parameter
|month=ignored (help) - ↑ Vakil NB, Traxler B, Levine D (2004). "Dysphagia in patients with erosive esophagitis: prevalence, severity, and response to proton pump inhibitor treatment". Clin. Gastroenterol. Hepatol. 2 (8): 665–8. PMID 15290658. Unknown parameter
|month=ignored (help) - ↑ Richter JE (1996). "Typical and atypical presentations of gastroesophageal reflux disease. The role of esophageal testing in diagnosis and management". Gastroenterol. Clin. North Am. 25 (1): 75–102. PMID 8682579. Unknown parameter
|month=ignored (help)