Barrett's oesophagus: Diagnosis and management

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Gastro-oesophageal reflux disease and its sequela, Barrett's oesophagus, are the major recognized risk factors for oesophageal adenocarcinoma, a tumour whose frequency has increased dramatically in Western countries over the past few decades. Barrett's oesophagus develops through the process of metaplasia in which one adult cell type replaces another. The metaplastic, intestinal-type cells of Barrett's oesophagus are predisposed to develop genetic changes that eventuate in cancer. This report reviews the recent controversy regarding diagnostic criteria for Barrett's oesophagus, and provides practical guidelines for identifying the condition. The risks and benefits of the proposed medical, surgical and endoscopic therapies for Barrett's oesophagus are discussed in detail, and the approach to management recently endorsed by the American College of Gastroenterology is summarized.

Original languageEnglish (US)
Pages (from-to)857-879
Number of pages23
JournalBailliere's Best Practice and Research in Clinical Gastroenterology
Volume14
Issue number5
DOIs
StatePublished - Jan 1 2000

Keywords

  • Barrett's oesophagus
  • Gastro-oesophageal reflux
  • Oesophageal neoplasms
  • Oesophagitis
  • Peptic

ASJC Scopus subject areas

  • Gastroenterology

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