Barrett's esophagus surgery: Difference between revisions

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{{Barrett's esophagus}}
{{Barrett's esophagus}}


{{CMG}}; {{AE}}  
{{CMG}}; {{AE}} {{MKK}} {{AMK}}


==Overview==
==Overview==
Surgical intervention is not recommended for the management of [disease name].
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]].
 
OR
 
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
 
OR
 
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
 
OR
 
The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
 
OR
 
Surgery is the mainstay of treatment for [disease or malignancy].
==Overview==
 
==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]].


==Surgery==
==Surgery==
 
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>
*Surgical intervention is not recommended for the management of [disease name].
*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]].
OR
*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.
*Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
*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.
**[Indication 1]  
Various [[surgical]] methods used for the treatment of [[Barrett's esophagus]] are:
**[Indication 2]
*[[Esophagectomy]]
**[Indication 3]
*[[Nissen fundoplication]] is used in the patient with [[GERD]] [[symptoms]]
*The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
**[Indication 1]  
**[Indication 2]
**[Indication 3]
*The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
*Surgery is the mainstay of treatment for [disease or malignancy].
 
==Indications==


==References==
==References==

Latest revision as of 22:46, 21 February 2018

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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.

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