Endoscopic surveillance of patients with Barrett esophagus.

Common questions about Barrett esophagus.

Barrett esophagus is a precancerous metaplasia of the esophagus that is more common in patients with chronic reflux symptoms, although it also occurs in patients without symptomatic reflux. Other risk factors include smoking, male sex, obesity, white race, hiatal hernia, and increasing age (particularly older than 50 years). Although Barrett esophagus is a risk factor for esophageal adenocarcin...

Update in gastroenterology.

I will consider the literature on screening or surveillance for Barrett esophagus. In programs designed to screen for Barrett esophagus, members of the general population who are believed to be at increased risk (usually those with gastroesophageal reflux, although, as we will see, the at-risk population may be larger) undergo endoscopic evaluation once to establish or exclude the disease. Surv...

Cost-effectiveness of endoscopic surveillance of non-dysplastic Barrett’s esophagus

Background: Endoscopic surveillance for non-dysplastic Barrett’s esophagus is contentious and its cost-effectiveness unclear. Objective: To perform an economic analysis of endoscopic surveillance strategies. Design: Cost-utility analysis using a simulation Markov model to synthesize evidence from large epidemiological studies and clinical data for surveillance, based on international guidelines...

Gastroesophageal Reflux Disease, Barrett Esophagus, and Esophageal Adenocarcinoma

T he incidence of esophageal adenocarcinoma has been rising rapidly over the past few decades. The major risk factors predisposing to the development of adenocarcinoma are long-standing gastroesophageal reflux disease and Barrett esophagus, but other factors may be involved as cancer can occur in their absence. In patients with Barrett esophagus, the extent and degree of dysplasia influence the...

Cost-Effectiveness Analysis on Endoscopic Surveillance Among Western Patients With Barrett's Esophagus for Esophageal Adenocarcinoma Screening: Erratum