Symposium on Gastroenterology
Barrett's oesophagus: diagnosis, surveillance and treatment
Jan Bornschein; Rebecca C Fitzgerald
Published Online:18 Nov 2013https://doi.org/10.12968/hmed.2013.74.8.444
Abstract
Barrett's oesophagus is a premalignant condition with rising incidence in the UK. Technological progress in endoscopic imaging and rapid development of endoscopic treatment modalities for early neoplastic lesions have altered patient management and highlighted the need for more structured screening and surveillance schemes.
References
- (2009) A metaanalysis of the diagnostic accuracy of esophageal capsule endoscopy for Barrett's esophagus in patients with gastroesophageal reflux disease. Am J Gastroenterol 104: 1533–9 Crossref, Medline, Google Scholar
- (2012a) Population-based study reveals new risk-stratification biomarker panel for Barrett's esophagus. Gastroenterology 143: 927–35 Crossref, Medline, Google Scholar
- (2012b) Molecular imaging using fluorescent lectins permits rapid endoscopic identification of dysplasia in Barrett's esophagus. Nat Med 18(2): 315–21 Crossref, Medline, Google Scholar
- (2012) Helpfulness of the combination of acetic acid and FICE in the detection of Barrett's epithelium and Barrett's associated neoplasias. World J Gastroenterol 18: 1921–5 Crossref, Medline, Google Scholar
- (2011) Tobacco smoking increases the risk of high-grade dysplasia and cancer among patients with Barrett's Esophagus. Gastroenterology 142(2): 233–40 Crossref, Medline, Google Scholar
- (2011) Endoscopic trimodal imaging versus standard video endoscopy for detection of early Barrett's neoplasia: a multicenter, randomized, crossover study in general practice. Gastrointest Endosc 73: 195–203 Crossref, Medline, Google Scholar
- (2012) The incidence of oesophageal adenocarcinoma in non-dysplastic Barrett's oesophagus: a meta-analysis. Gut 61: 970–6 Crossref, Medline, Google Scholar
- (2013) Radiofrequency ablation for long- and ultralong-segment Barrett's esophagus: a comparative long-term follow-up study. Gastrointest Endosc 77: 534–41 Crossref, Medline, Google Scholar
- (2012) The risk of lymph-node metastases in patients with high-grade dysplasia or intramucosal carcinoma in Barrett's esophagus: a systematic review. Am J Gastroenterol 107: 850–62 Crossref, Medline, Google Scholar
Endoscopic Classification Review Group (2005) Update on the Paris classification of superficial neoplastic lesions in the digestive tract. Endoscopy 37: 570–8 Google Scholar- (2012) The role of obesity in gastroesophageal reflux disease and Barrett's esophagus. Dig Dis 30:154–7 Crossref, Medline, Google Scholar
- (2013) British Society of Gastroenterology Guidelines Diagnosis and Management of Barrett's oesophagus. Gut (in press) Google Scholar
- (2013) Clinical utility and interobserver agreement of autofluorescence imaging and magnification narrow-band imaging for the evaluation of Barrett's esophagus: a prospective tandem study. Gastrointest Endos 77: 71118 Crossref, Google Scholar
- (2013) Radiofrequency ablation and endoscopic mucosal resection for dysplastic Barrett's esophagus and early esophageal adenocarcinoma: Outcomes of the UK National Halo RFA Registry. Gastroenterology 145(1): 87–95 Crossref, Medline, Google Scholar
- (2008) Detection of colonic dysplasia in vivo using a targeted heptapeptide and confocal microendoscopy. Nat Med 14: 454–8 Crossref, Medline, Google Scholar
- (2010) Endoscopic mucosal resection and endoscopic submucosal dissection for esophageal dysplasia and carcinoma. Gastrointest Endosc Clin NAm 20: 25–34, v–vi Crossref, Medline, Google Scholar
- (2010) Acceptability and accuracy of a non-endoscopic screening test for Barrett's oesophagus in primary care: cohort study. BMJ 341: c4372 Crossref, Medline, Google Scholar
- (2012) Aberrant p53 protein expression is associated with an increased risk of neoplastic progression in patients with Barrett's oesophagus. Gut Dec 20 (epub ahead of print) Medline, Google Scholar
- (1999) Symptomatic gastroesophageal reflux as a risk factor for esophageal adenocarcinoma. N Engl J Med 340: 825–31 Crossref, Medline, Google Scholar
- (2008) Continuing rapid increase in esophageal adenocarcinoma in England and Wales. Am J Gastroenterol 103: 2694–9 Crossref, Medline, Google Scholar
- (2000) Safety of a systematic endoscopic biopsy protocol in patients with Barrett's esophagus. Am J Gastroenterol 95: 1152–7 Crossref, Medline, Google Scholar
- (2010) Narrow band imaging for characterization of high grade dysplasia and specialized intestinal metaplasia in Barrett's esophagus: a metaanalysis. Endoscopy 42: 351–9 Crossref, Medline, Google Scholar
- (2010) Endoscopic treatments for Barrett's esophagus: a systematic review of safety and effectiveness compared to esophagectomy. BMC Gastroenterol 10: 111 Crossref, Medline, Google Scholar
- (2013) Efficacy and durability of radiofrequency ablation for Barrett's esophagus: systematic review and meta-analysis. Clin Gastroenterol Hepatol pii: 3S1542–3565(13)00603–4 Google Scholar
- (2009) Diagnosis of endoscopic Barrett's esophagus by transnasal flexible spectral imaging color enhancement. J Gastroenterol 44: 1125–32 Crossref, Medline, Google Scholar
- (2008) Long-term results and risk factor analysis for recurrence after curative endoscopic therapy in 349 patients with high-grade intraepithelial neoplasia and mucosal adenocarcinoma in Barrett's oesophagus. Gut 57: 12006 Crossref, Google Scholar
- (2011) Comparison between endoscopic and surgical resection of mucosal esophageal adenocarcinoma in Barrett's esophagus at two high-volume centers. Ann Surg 254: 67–72 Crossref, Medline, Google Scholar
- (2011) Randomized trial on endoscopic resection-cap versus multiband mucosectomy for piecemeal endoscopic resection of early Barrett's neoplasia. Gastrointest Endosc 74: 35–43 Crossref, Medline, Google Scholar
- (2013) Photodynamic therapy for Barrett's esophagus and esophageal carcinoma. Clin Endosc 46: 30–7 Crossref, Medline, Google Scholar
- (2005) Endoscopic ablation of dysplastic Barrett's oesophagus comparing argon plasma coagulation and photodynamic therapy: a randomized prospective trial assessing efficacy and cost-effectiveness. ScandJ Gastroenterol 40: 750–8 Crossref, Medline, Google Scholar
- (2009) Radiofrequency ablation in Barrett's esophagus with dysplasia. N Engl J Med 360: 2277–88 Crossref, Medline, Google Scholar
- (2010) Safety and efficacy of endoscopic spray cryotherapy for Barrett's esophagus with high- grade dysplasia. Gastrointest Endosc 71: 680–5 Crossref, Medline, Google Scholar
- (2011) Durability of radiofrequency ablation in Barrett's esophagus with dysplasia. Gastroenterology 141: 460–8 Crossref, Medline, Google Scholar
- (2013) Standard endoscopy with random biopsies versus narrow band imaging targeted biopsies in Barrett's oesophagus: a prospective, international, randomised controlled trial. Gut 62: 15–21 Crossref, Medline, Google Scholar
- (2013) Variation in gastroscopy rate in English general practice and outcome for oesophagogastric cancer: retrospective analysis of Hospital Episode Statistics. Gut 20 Feb (epub ahead of print) Google Scholar
- (2006) The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am J Gastroenterol 101: 1900–20 Crossref, Medline, Google Scholar
- (2012) Multicenter, randomized, controlled trial of confocal laser endomicroscopy assessment of residual metaplasia after mucosal ablation or resection of GI neoplasia in Barrett's esophagus. Gastrointest Endosc 76: 53947 Crossref, Google Scholar
- (2013) Confocal laser endomicroscopy for detection of neoplasia in Barrett's esophagus: a meta-analysis. Dis Esophagus 15 May (epub ahead of print; doi: 10.1111/dote.12085) Google Scholar
