How to diagnose and manage patients with Barrett's esophagus in China

J Dig Dis. 2012 Mar;13(3):123-132. doi: 10.1111/j.1751-2980.2011.00567.x.

Abstract

In order to prevent the development of Barrett's esophagus (BE)-related esophageal cancer in China and facilitate the communication of research results among different centers, we propose using standardized diagnostic criteria and taking a conservative approach to diagnose and manage BE patients. BE patients without dysplasia need to be treated medically. For low-grade dysplasia, an annual endoscopy with biopsies is recommended, along with medical therapy. For high-grade dysplasia and intramucosal carcinoma, an endoscopic or surgical intervention is suggested. All BE patients should be followed up closely.

MeSH terms

  • Adenocarcinoma / pathology*
  • Adenocarcinoma / surgery
  • Barrett Esophagus / etiology
  • Barrett Esophagus / pathology*
  • Barrett Esophagus / therapy*
  • Biopsy
  • Cell Transformation, Neoplastic*
  • China
  • Esophageal Neoplasms / pathology*
  • Esophageal Neoplasms / surgery
  • Esophagoscopy
  • Gastroesophageal Reflux / complications
  • Gastroesophageal Reflux / drug therapy
  • Humans