What Is Barrett's Esophagus?
5. Workup
Since there is an important association between GERD, Barrett’s esophagus, and adenocarcinoma of the esophagus, patients with a history of chronic GERD, who are 50 years or older, should have an upper endoscopy performed to screen for Barrett’s esophagus. Esophagogastroduodenoscopy (EGD) is the preferred procedure to diagnose Barrett’s esophagus.
However, a biopsy will be needed to confirm the findings of specialized intestinal metaplasia (SIM). When cancer or dysplasia is found, an endoscopic ultrasonography is required to evaluate the resectability (ability to be removed by surgical procedures).
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