MANAGEMENT OF BARRETT'S ESOPHAGUS - CME Conferences
MANAGEMENT OF BARRETT'S ESOPHAGUS - CME Conferences
MANAGEMENT OF BARRETT'S ESOPHAGUS - CME Conferences
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3 rd Annual Essentials in Primary CareSummer Conference: Session 1Thursday, July 26, 2012<strong>MANAGEMENT</strong> <strong>OF</strong> HGD IN BE• Intensive surveillance (flat mucosa)–Repeat biopsies q3months for 1 year(i.e. “the hunt”)–Then, yearly if no cancer–Intervene when adenocarcinoma arises»Incidence @ 16% at 10 years(Sontag et al: Loyola)<strong>MANAGEMENT</strong> <strong>OF</strong> HGD IN BE• Esophagectomy–Operative mortality varies by center»8.1% if high volume (>19/year)»23% if low volume (50%Birkmeye. N Engl J Med 2002;346:1128-37Donald Castell, MDManagement of Barrett’s Esophagus
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