Barrett's oesophagus Flashcards
Barrett’s oesophagus is a complication of which condition?
oesophageal reflux
What is the histology of barrett’s oesophagus?
columnar epithelium
What is the normal epithelium of the oesphagus?
squamous epithelium
What is the process of epithelial cell change known as?
metaplasia
Barrett’s is a major risk factor for which condition?
oesophageal adenocarcinoma= premalignant condition
Three risk factors for barrett’s?
caucasian male age >50 smoking obesity hiatus hernia
What is the management of Barrett’s?
PPI
Stop NSAIDs etc
Lifestyl advice- weight loss, reduce alcohol
surveillance
When should endoscopy be performed if low grade dysplasia is discovered?
every 6 months
Endoscopy repeat for high grade dysplasia?
every 3 months
Endoscopy repeat if no dysplasia?
every 2-5 years