Barrett's esophagus diagnostic study of choice: Difference between revisions
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==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
*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> | *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="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> | ||
**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]]. | ||
Revision as of 22:00, 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 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 basically on endoscopy, when at least 2 of the following diagnostic criteria are met: presence of columnar epithelium in the distal esophagus and the presence of intestinal metaplasia in the columnar epithelium lining the distal esophagus.
Diagnostic Criteria
- The diagnosis of Barrett's esophagus is made when at least 2 of the following diagnostic criteria are met:[1][1]
- 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.
- Screening and surveillance, four quadrant biopsies are taken every 2cm of the Barrett's esophagus mucosa and submitted to pathology for dysplasia.
Video
{{#ev:youtube|_KgMKPAsNv0}}
References
- ↑ 1.0 1.1 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.