Question

A 45 yo man has an episode of epigastric pain that did not resolve on medical therapy. EGD shows barrett's

a what is the management
b what if biopsy shows dysplasia

Answer 1

The management for a 45-year-old man with Barrett's esophagus detected during an EGD involves long-term proton pump inhibitor (PPI) therapy to reduce acid reflux. If a biopsy shows dysplasia, more aggressive interventions such as endoscopic surveillance or ablation may be recommended.

Step-by-step explanation:

Barrett's esophagus is a condition where the normal esophageal lining is replaced by tissue similar to that found in the intestines, often due to chronic gastroesophageal reflux disease (GERD). In managing Barrett's esophagus, long-term proton pump inhibitor (PPI) therapy is typically prescribed to reduce acid reflux and minimize the risk of progression to esophageal cancer. Regular endoscopic surveillance is crucial to monitor the condition. If a biopsy reveals dysplasia, indicating abnormal cell changes, more aggressive interventions may be necessary, such as endoscopic ablation or, in some cases, surgical removal of the affected tissue.