Barrett's esophagus diagnostic study of choice
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Barrett's Esophagus Microchapters |
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Barrett's esophagus diagnostic study of choice On the Web |
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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
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]
- 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.
- For screening and surveillance, four quadrant biopsies are taken along every 2 cm of the Barrett's esophagus mucosa and submitted to pathology in separate containers which allows the opportunity to recognize dysplasia and focus subsequent biopsies on the appropriate area if dysplasia is present.
Video
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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.