Barrett's esophagus surgery: Difference between revisions

Jump to navigation Jump to search
m (Categories)
 
(18 intermediate revisions by 3 users not shown)
Line 2: Line 2:
{{Barrett's esophagus}}
{{Barrett's esophagus}}


Please help WikiDoc by adding more content here.  It's easy!  Click  [[Help:How_to_Edit_a_Page|here]]  to learn about editing.
{{CMG}}; {{AE}} {{MKK}} {{AMK}}
 
{{CMG}}


==Overview==
==Overview==
According to the American College of Gastroenterology, there are various [[surgical]] methods used for the treatment of [[Barrett's esophagus]] which includes antireflux [[surgery]] considered in those with incomplete control of [[reflux]] on optimized [[medical]] [[therapy]], [[esophagectomy]] in cases of [[Endoscopic]] [[adenocarcinoma]] (EAC) with [[invasion]] into the [[submucosa]] and [[Nissen fundoplication]]  used in the patient with [[GERD]] [[symptoms]].


==Surgery==
==Surgery==
Surgical removal of most of the esophagus is recommended if a person with Barrett’s esophagus is found to have severe [[dysplasia]] or [[cancer]] and can tolerate a surgical procedure. Many people with Barrett’s esophagus are older and have other medical problems that make surgery unwise; in these people, the less-invasive endoscopic treatments would be considered. Surgery soon after diagnosis of severe [[dysplasia]] or [[cancer]] may provide a person with the best chance for a cure. The type of surgery varies, but it usually involves removing most of the esophagus, pulling a portion of the stomach up into the chest, and attaching it to what remains of the esophagus.
According to the American College of Gastroenterology, indication for the [[surgery]] in [[Barrett's esophagus]] [[patients]] are:<ref name="urlDiagnosis and Management of Barrett’s Esophagus | American College of Gastroenterology">{{cite web |url=https://gi.org/guideline/diagnosis-and-management-of-barretts-esophagus/ |title=Diagnosis and Management of Barrett’s Esophagus &#124; American College of Gastroenterology |format= |work= |accessdate=}}</ref><ref name="pmid22798736">{{cite journal |vauthors=Amano Y, Kinoshita Y |title=Barrett esophagus: perspectives on its diagnosis and management in asian populations |journal=Gastroenterol Hepatol (N Y) |volume=4 |issue=1 |pages=45–53 |year=2008 |pmid=22798736 |pmc=3394474 |doi= |url=}}</ref>
*Antireflux [[surgery]] should not be pursued in [[patients]] with BE as an [[antineoplastic]] measure. However, this [[surgery]] should be considered in those with incomplete control of [[reflux]] on optimized [[medical]] [[therapy]].
*In cases of [[Endoscopic]] [[adenocarcinoma]] (EAC) with [[invasion]] into the [[submucosa]], especially those with [[invasion]] to the mid or deep [[submucosa]] (T1b, sm2–3), [[esophagectomy]], with consideration of [[neoadjuvant]] [[therapy]], is recommended in the [[surgical]] candidate.
*In patients with T1a or T1b sm1 EAC, poor [[differentiation]], lymphovascular [[invasion]], or incomplete [[Endoscopic]] [[mucosal]] [[resection]] (EMR ) should prompt consideration of [[surgical]] and/or multimodality therapies.
Various [[surgical]] methods used for the treatment of [[Barrett's esophagus]] are:
*[[Esophagectomy]]
*[[Nissen fundoplication]] is used in the patient with [[GERD]] [[symptoms]]


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Needs content]]
[[Category:Gastroenterology]]


{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category: (name of the system)]]

Latest revision as of 22:46, 21 February 2018

Barrett's Esophagus Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Barrett's Esophagus from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Endoscopic Therapy

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Barrett's esophagus surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Barrett's esophagus surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Barrett's esophagus surgery

CDC on Barrett's esophagus surgery

Barrett's esophagus surgery in the news

Blogs on Barrett's esophagus surgery

Directions to Hospitals TreatingBarrett's esophagus

Risk calculators and risk factors for Barrett's esophagus surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2] Amresh Kumar MD [3]

Overview

According to the American College of Gastroenterology, there are various surgical methods used for the treatment of Barrett's esophagus which includes antireflux surgery considered in those with incomplete control of reflux on optimized medical therapy, esophagectomy in cases of Endoscopic adenocarcinoma (EAC) with invasion into the submucosa and Nissen fundoplication used in the patient with GERD symptoms.

Surgery

According to the American College of Gastroenterology, indication for the surgery in Barrett's esophagus patients are:[1][2]

Various surgical methods used for the treatment of Barrett's esophagus are:

References

  1. "Diagnosis and Management of Barrett's Esophagus | American College of Gastroenterology".
  2. Amano Y, Kinoshita Y (2008). "Barrett esophagus: perspectives on its diagnosis and management in asian populations". Gastroenterol Hepatol (N Y). 4 (1): 45–53. PMC 3394474. PMID 22798736.

Template:WH Template:WS