Improving Screening Practices for Barrett's Esophagus

被引：7
作者：
Shaheen, Nicholas J. [1 ,2 ,3 ,4 ,5 ]
Palmer, Lena B. [6 ]
机构：
[1] Univ N Carolina, Sch Med, Ctr Esophageal Dis & Swallowing, UNC CH, Chapel Hill, NC 27599 USA
[2] Univ N Carolina, Sch Med, Dept Med, UNC CH, Chapel Hill, NC 27599 USA
[3] Univ N Carolina, Sch Med, Dept Epidemiol, UNC CH, Chapel Hill, NC 27599 USA
[4] Univ N Carolina, Sch Publ Hlth, Dept Epidemiol, UNC CH, Chapel Hill, NC 27599 USA
[5] Univ N Carolina, Sch Publ Hlth, Dept Med, UNC CH, Chapel Hill, NC 27599 USA
[6] Univ N Carolina, Sch Med, Ctr Esophageal Dis & Swallowing, Div Gastroenterol & Hepatol, Chapel Hill, NC 27599 USA
来源：
SURGICAL ONCOLOGY CLINICS OF NORTH AMERICA | 2009年 / 18卷 / 03期
关键词：
Barrett's esophagus; Screening; Gastroesophageal reflux disease (GERD); Esophageal adenocarcinoma; Epidemiology; GASTROESOPHAGEAL-REFLUX DISEASE; HIGH-GRADE DYSPLASIA; CONVENTIONAL UPPER ENDOSCOPY; POPULATION-BASED COHORT; BODY-MASS INDEX; INTESTINAL METAPLASIA; CAPSULE ENDOSCOPY; CANCER INCIDENCE; RISK-FACTORS; UPDATED GUIDELINES;
D O I：
10.1016/j.soc.2009.03.007
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
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.
引用
收藏
页码：423 / +
页数：17
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