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How to diagnose and manage patients with Barrett's esophagus in China
Author(s) -
HUANG Qin,
FANG Dian Chun,
FANG Jing Yuan,
CHEN Min Hu,
ZHANG Jun,
LIN Lin,
DAI Ning,
YU Cheng Gong,
ZHANG Hong Jie
Publication year - 2012
Publication title -
journal of digestive diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 51
eISSN - 1751-2980
pISSN - 1751-2972
DOI - 10.1111/j.1751-2980.2011.00567.x
Subject(s) - medicine , esophagus , dysplasia , barrett's esophagus , endoscopy , general surgery , esophageal cancer , intervention (counseling) , cancer , surgery , radiology , gastroenterology , adenocarcinoma , psychiatry
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.