Barrett's esophagus surgery: Difference between revisions

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==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>
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]].
*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 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.
*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:
Various [[surgical]] methods used for the treatment of [[Barrett's esophagus]] are:
*[[Esophagectomy]]
*[[Esophagectomy]]
*[[Nissen fundoplication]] is used in the patient with [[GERD]] [[symptoms]].
*[[Nissen fundoplication]] is used in the patient with [[GERD]] [[symptoms]].

Revision as of 15:14, 6 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]

Overview

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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