Barrett’s Oesophagus Flashcards Preview

Year 3 Upper GI Surgery > Barrett’s Oesophagus > Flashcards

Flashcards in Barrett’s Oesophagus Deck (12)
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1
Q

Barrett’s Oesophagus

A

Metaplasia of the oesophageal epithelial lining

Normal stratified squamous epithelium is replaced by simple columnar epithelium

2
Q

Risk factors

A
GORD
Caucasian 
Male
Smoking 
50 + yo
Hiatus hernia 
FHx
3
Q

Investigations

A

OGD and biopsy

4
Q

Clinical Features

A
Chest pain
Excessive belching
Odynophagia
Chronic cough
Hoarseness
5
Q

Red flag symptoms

A

Dysphagia
Early satiety
FLAWS
Worsening dyspepsia despite PPI treatment

6
Q

Conservative Mx

A

Stop smoking
Smaller meals
Reduce alcohol and spicy food intake

7
Q

Medical management

A

PPI

Stop NSAIDs

8
Q

Surveillance

A

Regular endoscopy

No dysplasia - every 2 - 5 years

Low grade dysplasia - every 6 months

High grade dysplasia - every 3 months

9
Q

High grade dysplasia

A

Resected with endoscopic mucosal resection (EMR)

or

endoscopic submucosal dissection (ESD)

10
Q

Squamous cell carcinoma

A

Found in upper 2/3rds of oesophagus

RF:

  • smoking
  • alcohol

Mx:
- chemotherapy

11
Q

Mx of adenocarcinoma

A

Neoadjuvant chemotherapy

Oesophageal resection

12
Q

Complications of oesophageal surgery

A

Anastomotic leak - re - operation

Pneumonia - as lung deflated during surgery and pain

Death