Updates in Surgery

, Volume 63, Issue 1, pp 5–9

Importance of a multidisciplinary approach for the treatment of Barrett’s esophagus

Review Article

DOI: 10.1007/s13304-011-0049-8

Cite this article as:
Feo, C.V. & Patti, M.G. Updates Surg (2011) 63: 5. doi:10.1007/s13304-011-0049-8

Abstract

Barrett’s esophagus is a consequence of gastroesophageal reflux disease. Today, it is the most common cause of esophageal adenocarcinoma. Cancer is usually the end results of a cascade of events whereby metaplasia changes into low- and high-grade dysplasia and eventually cancer. Today, we have the unique opportunity to block this cascade and avoid the development of esophageal cancer. A multidisciplinary approach with a team composed of radiologists, gastroenterologists, pathologists, and surgeons allows individualization of care and the best results.

Keywords

Gastroesophageal reflux disease Barrett’s esophagus Esophageal adenocarcinoma Laparoscopic fundoplication Radiofrequency ablation Esophageal endoscopic mucosal resection 

Abbreviations

GERD

Gastroesophageal reflux disease

RFA

Radiofrequency ablation

EMR

Endoscopic mucosal resection

HGD

High-grade dysplasia

BE

Barrett’s esophagus

LES

Lower esophageal sphincter

TLESR

Transient lower esophageal sphincter relaxation

PPIs

Proton pump inhibitors

BMI

Body mass index

IMC

Intramucosal carcinoma

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Department of Surgery, Institute of Clinical SurgeryUniversity of Ferrara and University Hospital of FerraraFerraraItaly
  2. 2.Department of SurgeryUniversity of Chicago Pritzker School of MedicineChicagoUSA

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