Improving Screening Practices for Barrett’s Esophagus - 07/08/11
, Lena B. Palmer, MD cRésumé |
This article reviews the epidemiology of Barrett’s esophagus (BE) and current evidence for or against screening for BE to provide insight into the screening process. Data demonstrate that multiple criteria of a successful screening program remain unfulfilled or unproven in endoscopic screening for BE. The operating characteristics of the test are poorly described, and inadequate risk stratification limits the effectiveness and cost-effectiveness of the approach. We suggest modifications to BE screening practices that may have the potential to improve outcomes for patients with BE.
Le texte complet de cet article est disponible en PDF.Keywords : Barrett’s esophagus, Screening, Gastroesophageal reflux disease (GERD), Esophageal adenocarcinoma, Epidemiology
Plan
| This work was supported by NIH grant R03DK75842. |
Vol 18 - N° 3
P. 423-437 - juillet 2009 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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