Skip to main content

Barrett Esophagus

Daniel J. Stein, MD, MPH Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Metaplasia of the distal esophageal mucosa from native stratified squamous epithelium to abnormal columnar (intestinalized) epithelium, likely as a consequence of chronic GERD

  • Predisp...

DIAGNOSIS

HISTORY

  • Assess underlying risk factors.

  • Common GERD symptoms: heartburn, regurgitation

  • Atypical symptoms include chest pain, odynophagia, chronic cough, water brash, globus sensation, laryngiti...

TREATMENT

MEDICATION

  • The goal of medical therapy is to control GERD and reduce esophagitis.

  • Neither suppression of gastric acid production via high-dose PPIs nor reduction in esophageal acid exposure vi...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Surveillance (to detect high-grade dysplasia or early carcinoma), although controversial, is recommended in patients with histologically confirmed BE, especially ...

REFERENCES

1
Spechler SJ, Sharma P, Souza RF, et al; for American Gastroenterological Association. American Gastroenterological Association medical position statement on the management of Barrett’s eso...

ADDITIONAL READING

  • Dunbar KB, Spechler SJ. Controversies in Barrett esophagus. Mayo Clin Proc.  2014;89(7):973–984. [View Abstract on OvidMedline]

  • Zimmerman TG. Common questions about Barrett esop...

CODES

ICD10

  • K22.70 Barrett’s esophagus without dysplasia

  • K22.719 Barrett’s esophagus with dysplasia, unspecified

  • K22.710 Barrett’s esophagus with low grade dysplasia

  • K22.711 Barrett’s esophagus with high ...

CLINICAL PEARLS

  • The incidence of esophageal cancer is rising faster than any other major malignancy. BE is a precursor to esophageal carcinoma.

  • The highest incidence of BE is in white males >50 year...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×