Barrett's Oesophagus

Question 1

Barrett’s oesophagus commonly occurs in the context of which condition?

Answer 1

GORD

Question 2

How is Barrett’s oesophagus diagnosed? What are the management prinicples?

Answer 2

Normally diagnosed on endoscopy and biopsy

• Low-grade dysplasia
  
  • PPI (esomeprazole) and surveillance
  • RF ablation or surgical treatment of GORD (fundoplication)
• High-grade dysplasia
  
  • Oesophagectomy/RF ablation/endoscopic resection depending on extent and type of Barrett’s
  • PPI