ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Barrett’s esophagus
Ali Yeğinsu1, Makbule Ergin1, Reşid Doğan Köseoğlu2, Cumhur İbrahim Başsorgun3
1Gaziosmanpaşa Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Tokat
2Gaziosmanpaşa Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, Tokat
3Akdeniz Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, Antalya
Barrett esophagus is described as a condition in which the normal squamous epithelium of the distal esophagus is replaced by abnormal columnar mucosa containing intestinal metaplasia. The prevalence of gastroesophageal reflux is 20% and Barrett esophagus is 0.4% in Turkey. Cronic mucosa irritation related to gastroesophageal reflux is the most important cause of the development of Barrett esophagus. In addition, obesity and some other diseases may result in Barrett esophagus development. Barrett esophagus is the only known precursor to esophageal adenocarcinoma and to date, it is one of the cancer types that has the most rapidly increasing incidence. Carcinogenic risk is 30 times higher than that in the normal population. Treatment should have the purpose of controlling symptoms of gastroesophageal reflux, preventing acid and duodenal reflux into esophagus, preventing the development of complications, such as erosion, peptic ulcus, stricture, preventing proximally extension of intestinal metaplasia, inducing regression of intestinal metaplasia to the normal mucosa, preventing the development of dysplasia, inducing regression of dysplasia to nondysplastic cells, and preventing the development of adenocarcinoma. The grade of the dysplasia determines the treatment modality. Whereas in patients with non-dysplastic or low grade dysplasia, followup, medical treatment, antireflux surgery or ablation therapy may be appropriate, esophagectomy should be preferred in patients with high grade dysplasia.
Keywords : Barrett’s esophagus; esophageal adenocarninoma; gastroesophageal reflux
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