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Diagnosis of Neoplasia in Barrett’s Esophagus using Vital-dye Enhanced Fluorescence Imaging
Published on: May 11, 2014
Endoscopic Screening of Barrett's Esophagus
Abdullah Alkhattabi1, Arvind J Trindade2, Prasad G Iyer3
1Division of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ, USA; Division of Gastroenterology and Hepatology, King Faisal Specialist Hospital Research Center, Jeddah, Saudi Arabia.
None:
Endoscopic Barrett's esophagus (BE) screening detects premalignant changes, enabling the detection of BE and endoscopic surveillance to detect dysplasia/esophageal adenocarcinoma (EAC). Endoscopic therapy for BE dysplasia reduces EAC risk and can treat early stage EAC effectively. Screening is advised for those with multiple risk factors: chronic reflux, age over 50 years, male sex, Caucasian race, smoking, central obesity, hiatal hernia, or family history. Risk prediction tools are evolving. High-definition endoscopy with biopsies enables detection; precise landmark identification is key.
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