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Barrett esophagus
Other Resources UpToDate PubMed

Barrett esophagus

Contributors: Michael W. Winter MD, Christine Osborne MD, Khaled Bittar MD, Nishant H. Patel MD, Desiree Rivera-Nieves MD
Other Resources UpToDate PubMed

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.

Codes

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

SNOMEDCT:
302914006 – Barrett Esophagus

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Therapy

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Last Reviewed:04/19/2017
Last Updated:01/11/2022
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Barrett esophagus
A medical illustration showing key findings of Barrett esophagus : Epigastric pain, Dysphagia, Dyspepsia
Copyright © 2022 VisualDx®. All rights reserved.