Barrett Esophagus Questions & Answers

Updated: Dec 29, 2017
  • Author: Mark H Johnston, MD; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Questions & Answers

Overview

What is Barrett esophagus?

What are the signs and symptoms of Barrett esophagus?

What are the features of gastroesophageal reflux disease (GERD) in long-segment Barrett esophagus (LSBE)?

What are the features of gastroesophageal reflux disease (GERD) in short-segment Barrett esophagus (SSBE)?

Which is included in the workup of Barrett esophagus?

How is Barrett esophagus managed?

Which foods should patients with Barrett esophagus avoid?

What is the Barrett esophagus?

What are histologic characteristics of Barrett esophagus?

What are endoscopic characteristics of Barrett esophagus?

What causes Barrett esophagus?

What is the pathogenesis of gastroesophageal reflux disease (GERD)?

What is the role of refluxate exposure to the esophagus in the etiology of Barrett esophagus?

What is the role of oral bisphosphonate in the etiology of Barrett esophagus?

What is the prevalence of Barrett esophagus?

What is the prognosis of Barrett esophagus?

Presentation

Which clinical history findings are characteristic of Barrett esophagus?

Which physical findings are characteristic of Barrett esophagus?

Workup

Who should be screened for Barrett esophagus?

What is the role of esophagogastroduodenoscopy (EGD) in the diagnosis for Barrett esophagus?

Which histologic findings are diagnostic of Barrett esophagus?

What is the role of ultrasonography in the evaluation of Barrett esophagus?

What is the role of fluorescence in-situ hybridization (FISH) in the diagnosis of Barrett esophagus?

Treatment

What are the treatment options for Barrett esophagus?

What is the role of surgery in the treatment of Barrett esophagus?

What is the recurrence rate of Barrett esophagus after surgery?

Which dietary modifications are used in the treatment of Barrett esophagus?

What are the American College of Gastroenterology (ACG) screening and surveillance guidelines for Barrett esophagus?

How is high-grade dysplasia managed in Barrett esophagus?

What is the role of ablative therapy in the treatment of Barrett esophagus?

What is the role of radiofrequency ablation in the treatment of Barrett esophagus?

What is the role of photodynamic therapy (PDT) in the treatment of Barrett esophagus?

What is the role of argon plasma coagulation (APC) in the treatment of Barrett esophagus?

What is the role of multipolar electrocoagulation (MPEC) ablation in the treatment of Barrett esophagus?

What is the role of laser ablation in the treatment of Barrett esophagus?

What is low-pressure cryospray ablation in the treatment of Barrett esophagus?

Medications

Which medications are used in the treatment of Barrett esophagus?

Which medications in the drug class Photosensitizers are used in the treatment of Barrett Esophagus?

Which medications in the drug class Proton pump inhibitors are used in the treatment of Barrett Esophagus?

Which medications in the drug class H2-receptor antagonists are used in the treatment of Barrett Esophagus?