When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Barrett esophagus

Last reviewed: 13 Feb 2025
Last updated: 15 Oct 2024

Summary

Definition

History and exam

Key diagnostic factors

  • heartburn
  • regurgitation
  • dysphagia
Full details

Other diagnostic factors

  • incidental finding during gastrointestinal endoscopy for other indication
  • chest pain
  • laryngitis
  • cough
  • dyspnea or wheezing
  • history of aspiration pneumonia
Full details

Risk factors

  • acid/bile reflux or GERD
  • increased age
  • white ethnicity
  • male sex
  • family history of Barrett esophagus or esophageal adenocarcinoma
  • obesity
  • smoking
Full details

Diagnostic investigations

1st investigations to order

  • upper GI endoscopy with biopsy
  • barium esophagogram
Full details

新兴检查

  • chromoendoscopy
  • autofluorescence imaging
  • confocal laser endomicroscopy
  • optical coherence tomography
  • spectroscopy
  • transnasal endoscopy
  • capsule endoscopy
  • gelatin-coated sponge

治疗流程

急症处理

nondysplastic Barrett esophagus

low-grade dysplasia

high-grade dysplasia

撰稿人

作者

Andres F. Carrion, MD

Associate Professor of Medicine

Division of Gastroenterology and Hepatology

University of Miami

Miller School of Medicine

Miami

FL

利益声明

AFC is a scientific advisor for Intercept Pharmaceuticals and Gilead Sciences, and is on the speaker bureau for Bristol-Myers Squibb, Intercept Pharmaceuticals, Merck, and Alexion.

Ricardo Badillo, MD

Assistant Professor of Medicine

Division of Gastroenterology

Texas Tech University Health Sciences Center

El Paso

TX

利益声明

RB declares that he has no competing interests.

Marc J. Zuckerman, MD

Professor of Medicine

Chief

Division of Gastroenterology

Texas Tech University Health Sciences Center

El Paso

TX

利益声明

MJZ is on the speakers bureau for Phathom Pharmaceuticals.

鸣谢

Dr Andres F. Carrion, Dr Ricardo Badillo and Dr Marc J. Zuckerman would like to gratefully acknowledge Dr Vic Velanovich, the previous contributor to this topic.

利益声明

VV is an author of a number of references cited in this topic.

同行评议者

Richard E. Sampliner, MD

Professor

Medicine Chief

Department of Gastroenterology

University of Arizona College of Medicine

Tucson

AZ

利益声明

RES declares that he has no competing interests.

Peter McCulloch, MBChB, MA, MD, FRCS (Ed), FRCS (Glas)

Clinical Reader in Surgery

Nuffield Department of Surgery

University of Oxford

Oxford

UK

利益声明

PM declares that he has no competing interests.

  • Barrett esophagus images
  • 鉴别诊断

    • Esophagitis
    • GERD
    • Esophageal adenocarcinoma
    更多 鉴别诊断
  • 指南

    • Endoscopic eradication therapy of Barrett’s esophagus and related neoplasia
    • Adverse events associated with EGD and EGD-related techniques
    更多 指南
  • 患者教育信息

    Heartburn

    Sore throat

    更多 患者教育信息
  • padlock-locked登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容

内容使用需遵循免责声明