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+--- Thread: EGD shows Bareett - midwest (/showthread.php?tid=413078)
EGD shows Bareett - midwest - ArchivalUser - 05-23-2009
1. what is the treatment
2. how do you follow him
0 - ArchivalUser - 05-23-2009
treat with ppi
follow up every 2 to 3 yr with egd
low grade dysplasi every 6 to 12 month
high grade remove
0 - ArchivalUser - 05-23-2009
This will depend on the biopsy result.
Low grade dysplasia .....> then give ppi and every 3-6 months endoscopy and biopsy
High grade dysplasia......> lower esophagectomy.
Any patient with GERD for more than 5 years should have endoscopy.
0 - ArchivalUser - 05-23-2009
1. first is right...PPI
2. will you do anually or every 2-3 yrs????
0 - ArchivalUser - 05-23-2009
every 2 to 3 yrs somebook, every 1 to 3 yrs some book
0 - ArchivalUser - 05-23-2009
yes, master the boards said
barrette esophagus....> every 2-3 years repeat endoscopy.plus ppi
0 - ArchivalUser - 05-23-2009
))) midwest,Thanks for this nice discussion.
Sorry for the mistakes, hope it will not happen in the exam.
I was in the neurology side and then went to the GIT.
Thank you again.
0 - ArchivalUser - 05-23-2009
Answer...Kaplan says...
If barreett is +ve for low dysplasia...
Anually..if 2 anually is -ve..then every 3 yrs
High dysplaia...surgery
0 - ArchivalUser - 05-23-2009
yes..Zkadhem..
if GERD is treated & he is improving with H2/PPI...then every 5 yrs barrett