12-15-2007, 08:24 PM
if pt already receiving medications for long standing GER
rx for barett esophagus - krishna07
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12-15-2007, 08:24 PM
if pt already receiving medications for long standing GER
12-15-2007, 08:52 PM
nissen fundoplication
12-16-2007, 12:01 AM
treatment of barretts is same as patient with GERD wwithout barretts as risk of adenocarcinoma doesnt regress with operation in barretts.....
indications for operation in barrett...more than 8 cm,high grade dysplasia for low grade dysplasia...endoscopy every 3-6mo.....for no dysplasia....i think yrlyu
12-16-2007, 12:44 AM
ok dark horse do u think nissenfundoplcatio can be done
12-16-2007, 12:49 AM
nissen fundo is for hiatus hernia with reflux..
12-16-2007, 03:48 AM
failure of medical rx for GER is nissenfundoplication
then why cant u giv it for barett also???
12-16-2007, 03:51 AM
barrett is special bcoz of risk of adenocarcinoma....risk doesnt reduce after surgery unless u excise the segment...u can treat gerd but not barett by nissen...u have to excise when the risk increses...as i mentioned...segment longer than 8 cm and high grade dysplasia
12-16-2007, 04:03 AM
ok for low grade dysplasia u do endoscopy ok
u give only anti GER medications |
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