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Barrett esophagus
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Barrett esophagus

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Contributors: Michael W. Winter MD, Christine Osborne MD, Khaled Bittar MD, Nishant H. Patel MD, Desiree Rivera-Nieves MD
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Synopsis

Barrett esophagus is a condition where specialized columnar metaplasia replaces the squamous mucosa of the distal esophagus in some patients with long-standing gastroesophageal reflux disease (GERD). The presence of Barrett esophagus is a risk factor for the development of esophageal adenocarcinoma.

GERD of 10-year duration, male sex, Northern European descent, and advanced age are risk factors for developing Barrett esophagus. Patients with GERD and risk factors for esophageal adenocarcinoma should consider a screening esophagogastroduodenoscopy (EGD) to evaluate for Barrett esophagus. Even among patients with Barrett esophagus, the risk of esophageal adenocarcinoma is low, estimated at 0.05% annually. Most patients with Barrett esophagus do not develop esophageal adenocarcinoma.

Barrett esophagus is typically asymptomatic. Patients with Barrett esophagus may or may not have symptomatic reflux.

For more information, see OMIM.

Codes

ICD10CM:
K22.70 – Barrett's esophagus without dysplasia

SNOMEDCT:
302914006 – Barrett Esophagus

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Last Reviewed: 04/20/2017
Last Updated: 04/20/2017
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Barrett esophagus
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Barrett esophagus : Epigastric pain, Dysphagia, Dyspepsia
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