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 | The [[diagnosis]] of [[Barrett's esophagus]] is made 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== | ==Diagnostic Criteria== | ||
Revision as of 22:04, 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 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][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.
- Four quadrant biopsies are taken every 2cm of the Barrett's esophagus mucosa 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.