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Update on Management of Barrett’s Esophagus for Primary Care Providers

Ahmed, Yahya ; Ali, Zuhair ; Othman, Mohamed O

Journal of clinical outcomes management, 2018-03, Vol.25 (3) [Periódico revisado por pares]

Wayne: Turner White Communications Inc

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  • Título:
    Update on Management of Barrett’s Esophagus for Primary Care Providers
  • Autor: Ahmed, Yahya ; Ali, Zuhair ; Othman, Mohamed O
  • Assuntos: Esophageal cancer ; Esophagus ; Radio frequency
  • É parte de: Journal of clinical outcomes management, 2018-03, Vol.25 (3)
  • Descrição: Objective: To provide an update on management of Barrett's esophagus. Methods: Review of the literature. Results: Management of Barrett's esophagus depends on the degree of dysplasia. Surveillance by endoscopy every 3-5 years is recommended in patients with Barrett's esophagus without dysplasia. Patients with Barrett's esophagus and low-grade dysplasia should undergo surveillance by endoscopy in 3 months for confirmation of the diagnosis; if the diagnosis is confirmed then surveillance by endoscopy or eradication of Barrett's epithelium by ablation or endoscopic resection are recommended. There is a sufficient evidence to recommend radiofrequency ablation of high-grade dysplasia within Barrett's esophagus or to perform endoscopic mucosal resection of nodular Barrett's esophagus with any degree of dysplasia. Early esophageal cancers that are limited to the mucosa can be treated by endoscopic resection, while cancer invading into the deep submucosa or muscularis propria may need esophagectomy with or without chemoradiation. Conclusion: The management of Barrett's esophagus depends on the degree of dysplasia. Radiofrequency ablation and endoscopic mucosal resection are the most commonly used treatment for Barrett's esophagus with dysplasia.
  • Editor: Wayne: Turner White Communications Inc
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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