Barretts Oesophagus Flashcards
1
Q
What is Barretts oesophagus?
A
Constant acid reflux resulting in metaplastic change to the oesophageal epithelium
From squamous to columnar (stomach) epithelium
Premalignant condition - risk for development of adenocarcinoma
2
Q
Barretts oesophagus investigations
A
Endoscopy
3
Q
Treatment for Barretts oesophagus
A
PPI (e.g. omeprazole)
Regular aspirin to reduce rate of adenocarcinoma developing (not in guidelines)
Ablation during endoscopy using photodynamic therapy, laser therapy or cryotherapy to destroy epithelium (not recommended in patients with no dysplasia)
