Australian clinical practice guidelines for the diagnosis and management of Barrett's esophagus and early esophageal adenocarcinoma. Issue 5 (May 2015)

• Record Type: Journal Article
• Authors: Whiteman, David C; Appleyard, Mark; Bahin, Farzan F; Bobryshev, Yuri V; Bourke, Michael J; Brown, Ian; Chung, Adrian; Clouston, Andrew; Dickins, Emma; Emery, Jon; Eslick, Guy D; Gordon, Louisa G; Grimpen, Florian; Hebbard, Geoff; Holliday, Laura; Hourigan, Luke F; Kendall, Bradley J; Lee, Eric YT; Levert‐Mignon, Angelique; Lord, Reginald V; Lord, Sarah J; Maule, Derek; Moss, Alan; Norton, Ian; Olver, Ian; Pavey, Darren; Raftopoulos, Spiro; Rajendra, Shan; Schoeman, Mark; Singh, Rajvinder; Sitas, Freddy; Smithers, B Mark; Taylor, Andrew C; Thomas, Melissa L; Thomson, Iain; To, Henry; von Dincklage, Jutta; Vuletich, Christine; Watson, David I; Yusoff, Ian F;
• Is Part Of: Journal of gastroenterology and hepatology. Volume 30:Issue 5(2015:May)
• Page Start: 804
• Page End: 820
• Publication Date: 2015-05
• Subjects: Gastroenterology -- Periodicals; Digestive organs -- Diseases -- Periodicals; Liver -- Diseases -- Periodicals; Gastroenterology -- Periodicals; Liver Diseases -- Periodicals; 616.33
• DOI: 10.1111/jgh.12913
• Languages: English
• ISSNs: 0815-9319

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <p>Barrett's esophagus (BE), a common condition, is the only known precursor to esophageal adenocarcinoma (EAC). There is uncertainty about the best way to manage BE as most people with BE never develop EAC and most patients diagnosed with EAC have no preceding diagnosis of BE. Moreover, there have been recent advances in knowledge and practice about the management of BE and early EAC. To aid clinical decision making in this rapidly moving field, Cancer Council Australia convened an expert working party to identify pertinent clinical questions. The questions covered a wide range of topics including endoscopic and histological definitions of BE and early EAC; prevalence, incidence, natural history, and risk factors for BE; and methods for managing BE and early EAC. The latter considered modification of lifestyle factors; screening and surveillance strategies; and medical, endoscopic, and surgical interventions. To answer each question, the working party systematically reviewed the literature and developed a set of recommendations through consensus. Evidence underpinning each recommendation was rated according to quality and applicability.</p> </abstract>