eMedicine Specialties > Gastroenterology > Esophagus

Barrett Esophagus and Barrett Ulcer: Follow-up

Author: Mark H Johnston, MD, Associate Professor of Medicine, Uniformed Services University of Health Sciences; Consulting Staff, Lancaster Gastroenterology Inc
Coauthor(s): John A Eastone, MD, Gastroenterology Fellow, Bethesda and Walter Reed Army Medical Center; Instructor, Department of Internal Medicine, F Edward Herbert School of Medicine, Uniformed Services University of the Health Sciences
Contributor Information and Disclosures

Updated: Jun 1, 2009

Follow-up

Prognosis

  • Most patients with Barrett esophagus will not develop esophageal cancer and will die of other causes, as in the general population. The risk of progression to adenocarcinoma of the esophagus is estimated at approximately 0.5% per year in patients without dysplasia on initial surveillance biopsies. Why only some people with GERD develop Barrett esophagus also is not clear.

Miscellaneous

Medicolegal Pitfalls

  • The association of chronic GERD with Barrett esophagus and its inherent risk of progression to adenocarcinoma of the esophagus is established. Consequently, any patient aged 50 years or older, male or female, with a history of chronic GERD should have at least a 1-time upper endoscopy to screen for Barrett esophagus. Failure to recommend endoscopy or at least to discuss the cancer risk in this situation could lead to litigation, should such a diagnosis be missed.
 


More on Barrett Esophagus and Barrett Ulcer

Overview: Barrett Esophagus and Barrett Ulcer
Differential Diagnoses & Workup: Barrett Esophagus and Barrett Ulcer
Treatment & Medication: Barrett Esophagus and Barrett Ulcer
Follow-up: Barrett Esophagus and Barrett Ulcer
Multimedia: Barrett Esophagus and Barrett Ulcer
References

References

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Further Reading

Keywords

Barrett esophagus, Barrett's esophagus, BE, Barrett's ulcer, specialized intestinal metaplasia, SIM, goblet cells, columnar lined esophagus, columnar-lined esophagus, Barrett's metaplasia, Barrett metaplasia, esophageal carcinoma, chronic gastroesophageal reflux, chronic GER, gastroesophageal reflux disease, GERD

Contributor Information and Disclosures

Author

Mark H Johnston, MD, Associate Professor of Medicine, Uniformed Services University of Health Sciences; Consulting Staff, Lancaster Gastroenterology Inc
Mark H Johnston, MD is a member of the following medical societies: American College of Gastroenterology, American College of Physicians, American Gastroenterological Association, and Christian Medical & Dental Society
Disclosure: Nothing to disclose.

Coauthor(s)

John A Eastone, MD, Gastroenterology Fellow, Bethesda and Walter Reed Army Medical Center; Instructor, Department of Internal Medicine, F Edward Herbert School of Medicine, Uniformed Services University of the Health Sciences
John A Eastone, MD is a member of the following medical societies: American Association for the Study of Liver Diseases, American College of Gastroenterology, American College of Physicians-American Society of Internal Medicine, American Gastroenterological Association, and American Society for Gastrointestinal Endoscopy
Disclosure: Nothing to disclose.

Medical Editor

Ronnie Fass, MD, Director of GI Motility Laboratory, Tucson VA Medical Center, Associate Professor, Department of Internal Medicine, Division of Gastroenterology, University of Arizona School of Medicine
Ronnie Fass, MD is a member of the following medical societies: American College of Gastroenterology, American College of Physicians-American Society of Internal Medicine, American Gastroenterological Association, American Motility Society, American Society for Gastrointestinal Endoscopy, and Israel Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

James L Achord, MD, Professor Emeritus, Department of Medicine, Division of Digestive Diseases, University of Mississippi School of Medicine
James L Achord, MD is a member of the following medical societies: American Association for the Study of Liver Diseases, American College of Gastroenterology, American College of Physicians, American Gastroenterological Association, American Medical Association, American Society for Gastrointestinal Endoscopy, Mississippi State Medical Association, New York Academy of Sciences, Sigma Xi, and Southern Medical Association
Disclosure: Nothing to disclose.

CME Editor

Alex J Mechaber, MD, FACP, Associate Dean for Undergraduate Medical Education, Associate Professor of Medicine, University of Miami Miller School of Medicine
Alex J Mechaber, MD, FACP is a member of the following medical societies: Alpha Omega Alpha, American College of Physicians-American Society of Internal Medicine, and Society of General Internal Medicine
Disclosure: Nothing to disclose.

Chief Editor

Julian Katz, MD, Clinical Professor of Medicine, Drexel University College of Medicine; Consulting Staff, Department of Medicine, Section of Gastroenterology and Hepatology, Hospital of the Medical College of Pennsylvania
Julian Katz, MD is a member of the following medical societies: American College of Gastroenterology, American College of Physicians, American Gastroenterological Association, American Geriatrics Society, American Medical Association, American Society for Gastrointestinal Endoscopy, American Society of Law Medicine and Ethics, American Trauma Society, Association of American Medical Colleges, and Physicians for Social Responsibility
Disclosure: Nothing to disclose.

 
 
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