Barrett's oesophagus

Question 1

What is Barrett’s Oesophagus?

Answer 1

Barrett’s oesophagus is a change in the normal squamous epithelium of the oesophagus to specialised intestinal metaplasia.

Question 2

What are the RFs of Barrett’s Oesphagus?

Answer 2

GORD/ reflux
Older people
White
Male
Obesity/ smoking/ FHx

Question 3

What are the signs and symptoms of Barrett’s Oesphagus?

Answer 3

Heartburn, regurgitation, dysphagia, chest pain, cough, wheeze

Question 4

What investigations would you do for Barrett’s oesophagus and what might they show?

Answer 4

OGD with biopsy (Metaplasia)
Barium Oesophagogram (Identifies hiatal hernia and reflux)

Question 5

What is the management of Barrett’s oesophagus?

Answer 5

PPI plus surveillance
Radiofrequency ablation
Anti-reflux surgery plus survellance
Oesophagectomy

Question 6

What are the complications of barrett’s oesophagus?

Answer 6

Dysplasia/ Adenocarcinoma
Oesophageal stricture
Quality of life deficit

Question 7

What is the prognosis of people with Barrett’s Oesophagus?

Answer 7

Pretty good if it doesn’t become malignant