Medical Therapy for Barrett's Esophagus
Key Points
- Emerging technologies may allow for more widespread screening of Barrett’s esophagus in high-risk individuals.
- Keystone of medical therapy is acid suppression with proton pump inhibition.
- Following diagnosis, interval surveillance endoscopy is performed to detect dysplasia and early adenocarcinoma with new technologies and devices allowing for better risk stratification.
- 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, cryotherapy and radiofrequency ablation for dysplasia and early adenocarcinoma.
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Last updated: March 27, 2023
Citation
Sampliner, Richard E, et al. "Medical Therapy for Barrett's Esophagus." Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book, Chicago: Society of Thoracic Surgeons, 2023. STS Surgery, ebook.sts.org.
Sampliner RE, Viswanathan L, Sharma P, Farina DA, Komanduri S. Medical Therapy for Barrett's Esophagus. In: Darling GE, Baumgartner WA, Jacobs JP, eds. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. ebook.sts.org. Accessed September 23, 2023.
Sampliner, R. E., Viswanathan, L., Sharma, P., Farina, D. A., & Komanduri, S. (2023). Medical Therapy for Barrett's Esophagus. In Darling, G., Baumgartner, W., & Jacobs, J. (Eds.), Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons. ebook.sts.org
Sampliner RE, Viswanathan L, Sharma P, Farina DA, Komanduri S. Medical Therapy for Barrett's Esophagus [Internet]. In: Darling GE, Baumgartner WA, Jacobs JP, editors. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. [cited 2023 September 23]. Available from: ebook.sts.org.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Medical Therapy for Barrett's Esophagus
ID - 1418545
A1 - Farina,Domenico,
AU - Komanduri,Sri ,
ED - Jacobs,J,
ED - Darling,Gail,
ED - Baumgartner,William,
Y1 - 2023/03/27/
BT - Pearson's General Thoracic
UR - https://ebook.sts.org/sts/view/Pearsons-General-Thoracic/1418545/all/Medical_Therapy_for_Barrett's_Esophagus
PB - Chicago: Society of Thoracic Surgeons
DB - STS Surgery
DP - Unbound Medicine
ER -