Barret's oesophagus Flashcards
1
Q
Describe Barrett’s oesophagus?
A
- Metaplasia of distal oesophagus
- Due to chronic GORD
- Stratified squamous -> simple . columnar
2
Q
What features may warrant endoscopic screening in Barrett’s?
A
- >50yrs
- Obesity
- Male, white
- Family history of Barrett’s or oesophageal adenocarcinoma
3
Q
How should patients without dysplasia / involved part <3cm be managed?
A
Discharged for surveillance programmes
4
Q
How should more extensive Barrett’s be managed?
A
Endoscopic assessment every 2-3 years
5
Q
How should high-grade dysplasia or intramural carcinoma be managed?
A
- Endoscopic resection
- OR
- Mucosal radiofrequency ablation (RFA)
6
Q
IF low grade dysplsia is detected how sould the patient be managed?
A
Repeat in 6 months by independant pathologist
7
Q
What is the relative risk increase of oesophageal carcinoma in someone with Barrett’s?
A
40-120 fold
8
Q
What populations most at risk from Barrett’s oesophagus?
A
- Obese
- Men
- Over 50 years old
9
Q
A
