Barrett's esophagus differential diagnosis
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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
Barrett's esophagus must be differentiated from esophagitis, peptic ulcer disease, GERD, esophageal carcinoma and esophageal motor disorders.
Differentiating Barrett's Esophagus from other Diseases
Barrett's esophagus should be differentiated from the following diseases;
- Esophagitis[1]
- Pill esophagitis
- Eosinophilic esophagitis
- Infectious esophagitis
- GERD[2][3]
- Esophageal carcinoma [4]
- Peptic ulcer disease
- Esophageal motor disorders
Disease | Signs and Symptoms | Barium esophagogram | Endoscopy | Other imaging and laboratory findings | Gold Standard | |||||||
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Onset | Dysphagia | Weight loss | Heartburn | Other findings | Mental status | |||||||
Solids | Liquids | Type | ||||||||||
Barrett's esophagus | Gradual | + | - | Progressive | +/- | + | GERD Symptoms | Normal |
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Eosinophilic esophagitis | Gradual | + | Progressive | +/- | +/- |
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Normal |
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Esophageal carcinoma |
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+ | + | Progressive | + | +/- | Normal |
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Motor disorders |
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+ | + | Progressive | +/- | - | Normal |
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GERD |
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+ | - | Progressive | +/- | + | Normal |
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References
- ↑ Moayyedi P, Talley NJ (2006). "Gastro-oesophageal reflux disease". Lancet. 367 (9528): 2086–100. doi:10.1016/S0140-6736(06)68932-0. PMID 16798392. Unknown parameter
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ignored (help) - ↑ http://www.wrongdiagnosis.com/b/barretts_esophagus/misdiag.htm
- ↑ Badillo R, Francis D (2014). "Diagnosis and treatment of gastroesophageal reflux disease". World J Gastrointest Pharmacol Ther. 5 (3): 105–12. doi:10.4292/wjgpt.v5.i3.105. PMC 4133436. PMID 25133039.
- ↑ Saenko VF, Tutchenko NI, Kurilets IP, Deĭneka SV, Malinin VV (1985). "[Diagnosis and surgical treatment of nonepithelial stomach tumors]". Klin Khir (5): 11–5. PMID 4021327.