Register
Login

Trending Topic

11 mins

Trending Topic

Developed by Touch
Mark CompleteCompleted
BookmarkBookmarked

Lung cancer is the second most common type of cancer worldwide and in the USA, with its incidence varying depending on geographic and socioeconomic factors.1–3 According to data from the Global Cancer Observatory: Cancer Incidence, Mortality and Prevalence (GLOBACAN) database, an estimated 2.48 million new cases of lung cancer were reported in 2022.4,5 Although lung cancer rates in the […]

Diagnosis and Management of Barrett’s Metaplasia

Benjamin Colleypriest
Share
Facebook
X (formerly Twitter)
LinkedIn
Via Email
Mark CompleteCompleted
BookmarkBookmarked
Copy LinkLink Copied
Published Online: Jun 15th 2012 European Gastroenterology & Hepatology Review, 2011;7(3):166–71
Select a Section…
1

Abstract

Overview

Barrett’s metaplasia (BM) is a common pre-malignant condition with unknown population prevalence, but an increasing endoscopic incidence. BM develops in the context of gastro-oesophageal reflux and is a major risk factor for oesophageal adenocarcinoma, which develops from BM via a metaplasia–dysplasia–carcinoma pathway. Current treatment strategies aim to prevent the progression through this pathway with drug regimes and detect dysplasia early via endoscopic surveillance. Multiple imaging modalities and adjuncts have been employed to detect dysplastic epithelium in BM, including high-definition endoscopy, confocal endomicroscopy, narrow band imaging, chromoendoscopy and autofluorescence. Historically, oesophagectomy was the only potentially curative treatment option for oesophageal adenocarcinoma in the context of BM, but the last 10 years have seen a dramatic increase in the use of endoscopic resection and ablation technologies. Endoscopic mucosal resection, photodynamic therapy and radiofrequency ablation can be considered for treatment of high-grade dysplasia and early oesophageal adenocarcinoma.

2

Article

3

Further Resources

Share
Facebook
X (formerly Twitter)
LinkedIn
Via Email
Mark CompleteCompleted
BookmarkBookmarked
Copy LinkLink Copied
Close Popup