Barret`s and screening?? anyone? - hardwork2009

[ArchivalUser]

What are the screening guidelines for Barret`s?
PPIs and endo every 3 yrs OR
one baseline endo if negative one more after 1 yr, if that also negative after 5 yrs.
I found this from 2 different sources.
Please share your view.
Thank you.

[ArchivalUser]

3 yrs for Barrets, 6 months for low grade and 3 months for high grade. Esophageectomy for adenocarcinoma

[ArchivalUser]

High grade dysplasia- esophaegectomy right?
Please share your source please.
thank you peace4all.

[ArchivalUser]

Barret's esophagus :

1.squamous replace by metaplastic columnar epithelim ( goblet cell and columnar cell)
due to chronic reflex .

2. Orange gastric type on endoscopy but biospy is always conformatory test

3. three type of columnar is possible A. gastric cardiac B.gastric fundic C.specialize intestial(which is increse the risk of neoplasia )


4.Treat with PPI which ony decreae the risk of cancer ( meaning decrease the colunmar epithelium).

Most serious complication of barret esophagus is Adenocarcinoma .

screen :
More than 5- 10 year heart burn ----> Do endoscopy screening
Low grade dysplasia -----> yearly endoscopy
high grade dysplais --------> Endoscopy+ biopsy


PPI always be there to decrese the risk of cancer risk .


if patient develope the stricture( compication of barret's esophageus) Now GERD seems normal because of stricture act as sphinter---------> always do a biopsy .

Pnumatic dialatioon is treatment for stricture .

More input plz

[ArchivalUser]

barretts alone(metaplasia) PPI n endoscopy every 2-3 years..
low grade PPI n endoscopy every 6moths.
high grade go for ablation (they no longer do esophogectomy as first method) or endoscopy 3mos
carcinoma - resction


MTB 2, KQ bank were my sources!

[ArchivalUser]

barretts esophagus-ppi+endoscopy2-3 yrs
low grade- ppi+endoscopy3-6mon
high grade- distal esophagectomy

MTB 3 is my source

[ArchivalUser]

Mtb2

[ArchivalUser]

barrets - yearly EGD
low grade dyplasia- 6 mo EGD
high grade - Esophagectomy vs endoscopic management

[ArchivalUser]

barret eso----yearly
low grade dysplasia---- every 6 mth
high grade ---esophagectomy or ablation
http://emedicine.medscape.com/article/17...w2aab6b5b2