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Australian clinical practice guidelines for the diagnosis and management of B arrett's esophagus and early esophageal adenocarcinoma
Author(s) -
Whiteman David C,
Appleyard Mark,
Bahin Farzan F,
Bobryshev Yuri V,
Bourke Michael J,
Brown Ian,
Chung Adrian,
Clouston Andrew,
Dickins Emma,
Emery Jon,
Eslick Guy D,
Gordon Louisa G,
Grimpen Florian,
Hebbard Geoff,
Holliday Laura,
Hourigan Luke F,
Kendall Bradley J,
Lee Eric YT,
LevertMig Angelique,
Lord Reginald V,
Lord Sarah J,
Maule Derek,
Moss Alan,
Norton Ian,
Olver Ian,
Pavey Darren,
Raftopoulos Spiro,
Rajendra Shan,
Schoeman Mark,
Singh Rajvinder,
Sitas Freddy,
Smithers B Mark,
Taylor Andrew C,
Thomas Melissa L,
Thomson Iain,
To Henry,
Dincklage Jutta,
Vuletich Christine,
Watson David I,
Yusoff Ian F
Publication year - 2015
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1111/jgh.12913
Subject(s) - medicine , esophageal adenocarcinoma , natural history , barrett's esophagus , esophagus , incidence (geometry) , psychological intervention , general surgery , adenocarcinoma , family medicine , surgery , cancer , nursing , optics , physics
B arrett's esophagus ( BE ), a common condition, is the only known precursor to esophageal adenocarcinoma ( EAC ). There is uncertainty about the best way to manage BE as most people with BE never develop EAC and most patients diagnosed with EAC have no preceding diagnosis of BE . Moreover, there have been recent advances in knowledge and practice about the management of BE and early EAC . To aid clinical decision making in this rapidly moving field, C ancer C ouncil A ustralia convened an expert working party to identify pertinent clinical questions. The questions covered a wide range of topics including endoscopic and histological definitions of BE and early EAC ; prevalence, incidence, natural history, and risk factors for BE ; and methods for managing BE and early EAC . The latter considered modification of lifestyle factors; screening and surveillance strategies; and medical, endoscopic, and surgical interventions. To answer each question, the working party systematically reviewed the literature and developed a set of recommendations through consensus. Evidence underpinning each recommendation was rated according to quality and applicability.