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, 2012BARRETT’S <strong>ESOPHAGUS</strong>“Short segment”• Definition: Intestinal metaplasia present within 3cm or less of distal esophagus• 142 patients for elective endoscopy– Biopsies from distal 3 cm of esophagus,including squamocolumnar junction– 26 (18%) showed intestinal metaplasia(Spechler SJ, et al: Lancet 344:1533, 1994)HEARTBURN AND ESOPHAGEAL CANCERSymptomatic gastroesophageal reflux as a riskfactor for esophageal adenocarcinoma.(Lagergren J, et al: N Engl J Med 1999; 340:825)Donald Castell, MDManagement of Barrett’s Esophagus