Barret's Oesophagus - Upper GI Flashcards
1
Q
Define Barrett’s oesophagus
A
- a change in the normal squamous epithelium of the oesophagus to specialised intestinal metaplasia (can even range to different grades of dysplasia)
- associated with GORD, even if it’s asymptomatic
2
Q
What is the aetiology of Barrett’s oesophagus?
A
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3
Q
What are the risk factors/epidemiology of Barrett’s oesophagus?
A
- Middle age
- White
- Male > female
- GORD
- Smoking
- obesity
4
Q
What are the presenting symptoms of Barrett’s oesophagus?
A
- Can be asymptomatic
- Heartburn
- Regurgitation
- Dysphagia <<
5
Q
What are the physical signs of Barrett’s oesophagus on examination?
A
None in particular?
6
Q
What are the primary investigations for Barrett’s oesophagus?
A
- Histology: histology demonstrating columnar-lined epithelium, with or without intestinal metaplasia and with goblet cells
7
Q
Management??
A
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8
Q
What are the complications of Barrett’s oesophagus?
A
increased risk of adenocarcinoma
9
Q
What is the prognosis of Barrett’s oesophagus??
A
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