Medical Therapy for Barrett's Esophagus

Richard E. Sampliner, Lavanya Viswanathan, MD, MS, Prateek Sharma, MD
Medical Therapy for Barrett's Esophagus is a topic covered in the Pearson's General Thoracic.

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Key Points

  • Keystone of medical therapy is proton pump inhibition for control of reflux symptoms.
  • Interval surveillance endoscopy is performed to detect dysplasia and early adenocarcinoma.
  • Staging of early adenocarcinoma with endoscopic ultrasound (nodal involvement) and endoscopic resection (T classification) determines if a patient is a candidate for endoscopic therapy.
  • Endoscopic therapy includes endoscopic resection and ablation for dysplasia and early adenocarcinoma.

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Key Points

  • Keystone of medical therapy is proton pump inhibition for control of reflux symptoms.
  • Interval surveillance endoscopy is performed to detect dysplasia and early adenocarcinoma.
  • Staging of early adenocarcinoma with endoscopic ultrasound (nodal involvement) and endoscopic resection (T classification) determines if a patient is a candidate for endoscopic therapy.
  • Endoscopic therapy includes endoscopic resection and ablation for dysplasia and early adenocarcinoma.

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Last updated: December 6, 2019