Barrett's esophagus screening: Difference between revisions
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==Overview== | ==Overview== | ||
[[Barrett's esophagus]] is a major [[risk factor]] for [[development]] of [[esophageal]] [[adenocarcinoma]]. After [[diagnosis]], regular surveillance is needed based on the grade of [[dysplasia]]. | [[Barrett's esophagus]] is a major [[risk factor]] for [[development]] of [[esophageal]] [[adenocarcinoma]]. After [[diagnosis]], regular surveillance is needed based on the grade of [[dysplasia]]. Weak recommendation, moderate-quality [[evidence]]: [[screening]] in [[patients]] with multiple [[risk factors]] for [[esophageal]] [[adenocarcinoma]]: [[Age]] > 50 years old, [[male]], white, chronic [[GERD]], [[hiatal hernia]], elevated [[BMI]] (body mass index), and intra-abdominal distribution of [[body]] [[fat]]. [[Strong]] [[recommendation]], low-quality [[evidence]] [[against]] [[screening]] [[general]] [[population]] [[with]] [[GERD]] and no [[risk factors]].<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 |}}</ref> | ||
==Screening== | ==Screening== | ||
Revision as of 20:14, 4 February 2018
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Barrett's Esophagus Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Barrett's esophagus screening On the Web |
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American Roentgen Ray Society Images of Barrett's esophagus screening |
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Risk calculators and risk factors for Barrett's esophagus screening |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amresh Kumar MD [2]
Overview
Barrett's esophagus is a major risk factor for development of esophageal adenocarcinoma. After diagnosis, regular surveillance is needed based on the grade of dysplasia. Weak recommendation, moderate-quality evidence: screening in patients with multiple risk factors for esophageal adenocarcinoma: Age > 50 years old, male, white, chronic GERD, hiatal hernia, elevated BMI (body mass index), and intra-abdominal distribution of body fat. Strong recommendation, low-quality evidence against screening general population with GERD and no risk factors.[1]
Screening
Weak recommendation, moderate-quality evidence: Endoscopic surveillance in patients with Barrett's esophagus The following intervals are recommended:
- High-grade dysplasia in the absence of eradication therapy: 3 months.[1]