TITLE

AN ASSESSMENT OF A NURSE LED BARRETT'S OESOPHAGUS FOLLOW UP CLINIC

PUB. DATE
April 2004
SOURCE
Gut;Apr2004 Supplement 3, Vol. 53, pA107
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Barrett's oesophagus is a common problem, often diagnosed at open access endoscopy. Surveillance endoscopy to identify dysplasia is usually undertaken in all patients. Patients with a new diagnosis and those undergoing routine surveillance for Barrett's oesophagus were referred to a nurse led clinic. At the clinic visit, patients were assessed per protocol for; general health, compliance with anti-reflux medication, and the validity of the diagnosis of Barrett's oesophagus. A structured approach to the management of this chronic condition should optimise and individualise treatment and prove cost effective to the health care economy.
ACCESSION #
13219232

 

Related Articles

  • Atypical Regenerative Hyperplasia of the Esophagus in Endoscopic Biopsy. Arista-Nasr, Julián; Rivera, Irene; Martinez-Benitez, Braulio; Bornstein-Quevedo, Leticia; Orozco, Héctor; Lugo-Guevara, Yadira // Archives of Pathology & Laboratory Medicine;Jul2005, Vol. 129 Issue 7, p899 

    Context.—Atypical regeneration can mimic carcinoma in various epithelia. On endoscopic biopsies, atypical regenerative hyperplasia of the esophagus may show pleomorphism and atypia, simulating esophageal squamous cell carcinoma. Objective.—To establish the most useful histologic...

  • Comparing Treatments for Barrett's Disease.  // Clinician Reviews;Jul2009, Vol. 19 Issue 7, p18 

    The article reports that endoscopic radiofrequency ablation (RFA) was shown to completely eradicate Barrett's esophagus with associated dysplasia. Seventy-seven percent of members of a U.S. registry of patients with Barrett's esophagus who received RFA procedures were found cured of the disease...

  • Magnification endoscopy, high resolution endoscopy, and chromoscopy; towards a better optical diagnosis. Bruno, M. J. // Gut;Jun2003 Supplement 4, Vol. 52, piv7 

    In the past few years, optical magnification endoscopy and chromoscopy have gained renewed interest in the West as a means for the early detection of minute lesions in patients with Barrett & oesophagus and in patients referred for colonic cancer screening. In Barren's oesophagus, the vast...

  • An Inter-Observer Agreement Study of Autofluorescence Endoscopy in Barrett's Esophagus Among Expert and Non-Expert Endoscopists. Mannath, J.; Subramanian, V.; Telakis, E.; Lau, K.; Ramappa, V.; Wireko, M.; Kaye, P.; Ragunath, K. // Digestive Diseases & Sciences;Feb2013, Vol. 58 Issue 2, p465 

    Background: Autofluorescence imaging (AFI), which is a 'red flag' technique during Barrett's surveillance, is associated with significant false positive results. The aim of this study was to assess the inter-observer agreement (IOA) in identifying AFI-positive lesions and to assess the overall...

  • Evidence-Based Medicine (EBM) in Practice: Agreement Between Observers Rating Esophageal Varices: How to Cope With Chance? Sierra, Fernando; Cárdenas, Andrés // American Journal of Gastroenterology;Nov2007, Vol. 102 Issue 11, p2363 

    In clinical medicine, several tests that are commonly performed ( i.e., physical exams, x-rays, or endoscopy) rely on a degree of subjective interpretation by observers. A limitation for clinicians is the concept of agreement between two observers that is present and beyond chance. Clinical...

  • Screening for High-Grade Dysplasia in Gastroesophageal Reflux Disease: Is It Cost-Effective? Soni, Anurag; Sampliner, Richard E.; Sonnenberg, Amnon // American Journal of Gastroenterology;Aug2000, Vol. 95 Issue 8, p2086 

    OBJECTIVE: The present study aimed to assess the cost-effectiveness of endoscopic screening in patients with gastroesophageal reflux disease (GERD) to rule out high-grade dysplasia of Barrett's esophagus. METHODS: Using an incremental cost-effectiveness ratio as outcome measure, the...

  • The Diagnosis of Low-Grade Dysplasia in Barrett's Esophagus and Its Implications for Disease Progression. Skacel, Marek; Petras, Robert E.; Gramlich, Terry L.; Sigel, Jessica E.; Richter, Joel E.; Goldblum, John R. // American Journal of Gastroenterology;Dec2000, Vol. 95 Issue 12, p3383 

    OBJECTIVE: The reported risk of progression from low-grade dysplasia (LGD) to high-grade dysplasia (HGD) or carcinoma (CA) in Barrett's esophagus varies. However, the validity of a diagnosis of LGD may be questioned because of interobserver variability. METHODS: A search of the Cleveland Clinic...

  • Circumferential and Focal Ablation of Barrett's Esophagus Containing Dysplasia. Sharma, Virender K; Jae Kim, H; Das, Ananya; Wells, Christopher D; Nguyen, Cuong C; Fleischer, David E // American Journal of Gastroenterology;Feb2009, Vol. 104 Issue 2, p310 

    OBJECTIVES:Dysplasia in a Barrett's esophagus (BE) is associated with an increased risk for developing esophageal adenocarcinoma. Ablation using the HALO system has shown promise for the treatment of BE with dysplasia. The objective of this study was to assess the safety and efficacy of a...

  • Esophagectomy is the Treatment of Choice for High-Grade Dysplasia in Barrett's Esophagus. Rice, Thomas W.; Lee, Daniel; Lee, Karen // American Journal of Gastroenterology;Oct2006, Vol. 101 Issue 10, p2177 

    The article focuses on Esophagectomy as the method of treatment of high-grade dysplasia in Barrett's esophagus. The controversy regarding the treatment of high-grade dysplasia arises because of the unawareness about its natural history. The risks and benefits of the Esophagectomy should be...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics