Barrett's Oesophagus Flashcards
What is barret’s oesophagus?
Intestinal metaplasia from repeated exposure to stomach acid
Change from stratified squamous to mucin secreting columnar epithelium
What condition predisposes Barrett’s oesophagus?
GORD
Investigation?
Endoscopy
Oesophageal pH monitoring
Treatment of Barrett’s oesophagus?
Depends on stages
Treatment of early stage?
Treat risk factors
Antacids
PPI’s
- Omeprazole
H2 agonists
- Ranitadine
Complication of barrett’s oesophagus?
Oesophageal cancer
Treatment of barrett’s oesophagus if dysplasia/cancer is detected?
Radiofrequency ablation
Endoscopic mucousal resection
Oesophagectomy if invasion
How much does Barrett’s oesophagus increase your risk of developing cancer?
By 6% per year