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1. How should Barrett’s oesophagus be defined and which patients should undergo regular surveillance? 2. Are there clinical features associated with increased cancer risk in Barrett’s oesophagus, which should influence the frequency of endo-scopic surveillance? 3. Are there diagnostic tools that should be uti-lised to screen the ...
8 lut 2023 · This guideline covers monitoring, treatment and follow-up for people aged 18 and over with Barrett’s oesophagus and stage 1 oesophageal adenocarcinoma. It includes advice on endoscopic and non-endoscopic techniques.
treated by endoscopic resection, provided that adequate follow-up with gastroscopy, endoscopic ultrasound (EUS), and computed tomography (CT)/positrion emission tomo-graphy-computed tomography (PET-CT) is performed in expertcenters. Weak recommendation, low quality of evidence. MR9 ESGE suggests that submucosal (T1b) esophageal
Barrett's oesophagus is more. 15 common in older age groups, men, people who are white and people who are. 16 overweight. The risk of progression to cancer is low. Fewer than 1% of people. 17 with Barrett’s oesophagus develop oesophageal adenocarcinoma each year.
Proton pump inhibitors (PPIs) have the best clinical profile for symptomatic management (Recommendation grade A). Antireflux surgery is not superior to pharmacological acid suppression for the prevention of neoplastic progression of Barrett's oesophagus (Recommendation grade C).
Surveillance in BE is aimed at early detection of dysplasia. Dysplasia is categorized as NDBE, indeterminate, LGD, HGD, or carcinoma [56]. The presence of dysplasia should be confirmed by a second pathologist expert in GI histopathology, due to a high degree of inter-observer variability [56].
23 mar 2023 · The management of patients with Barrett’s esophagus still poses several clinical issues to the clinician, from correctly defining diagnosis to choosing adequate treatment. This brief and evidence-based review is aimed at providing a practical guide for the adequate management of this condition.
