Barrett's esophagus

Domanda

In regards to Barrett's esophagus, do the pre-cancer cells mean cancer?

Risposta dei nostri esperti

Barrett's esophagus is an advanced stage of reflux where there have been changes in the lining of the esophagus which is thought to be precancerous by some. It is known that the incidence of adenocarcinoma of the esophagus is higher in people with Barrett's esophagus than in the general population. This of course, does not mean that all patients with Barrett's esophagus will get cancer if the esophagus.

At present there is little known about children and cancer of the esophagus. We know that Barrett's esophagus is a precancerous condition in adults and strongly recommend evaluation, treatment and monitoring.

Once Barrett’s esophagus has been diagnosed and managed appropriately, an EGD should be done annually for several years to ascertain resolution. There has been a single case report of an adult with adenocarcinoma of the bowel following a diagnosis of Barrett’s esophagus.

TK 7-13-10

Approvato daClinical Advisory Board (CAB)

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Trova altre pagine che condividono lo stesso argomento di questa pagina Risk of Cancer in CdLS1 Adult medical Follow-up Reflux9 Reflux3 Reflux38

Raccomandazione

Reflux

R32

Consider always gastro-oesophageal reflux disease (GORD) in any individual with CdLS owing to its frequency and wide variability in presentation, which includes challenging behaviour.

R33

Modification of nutrition and proton pump inhibitors (PPI) are the first-line treatments of GORD. Anti-reflux medications need to be used to their maximum dosage. Surgical interventions for GORD should be limited to those individuals with CdLS in whom nutritional and medical treatments have been unsuccessful or airway safety is at risk.

R34

If GORD symptoms persist, endoscopy should be strongly considered whilst an individual with CdLS is still in paediatric care.

R35

Surveillance for Barrett’s Oesophagus needs to be discussed with and decided together with the family, balancing the potential gain in health and burden for the individual with CdLS.

Raccomandazione

Risk of Cancer in CdLS

R25

Women with CdLS should be offered breast cancer screening according to national guidelines for the general population.

R26

Routine gynaecologic care including cervical screening should be performed in women with CdLS, according to national guidelines for the general population.

Disconoscimento legale

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Barrett's esophagus

Domanda

Risposta dei nostri esperti

Raccomandazione

Raccomandazione

Disconoscimento legale

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Precedente

Vereniging Cornelia de Lange syndroom

Ultime notizie

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