Modern tactics in patient management in Barrett’s esophagus

O.V. Gaus, V.A. Akhmedov, I.S. Zaytseva

Omsk State Medical University

Barrett’s esophagus (BE) is a risk factor for esophageal cancer (EC) progression, the incidence of which has increased significantly over the past decade. According to the report on the cancer care facilities state in 2012, the esophageal cancer prevalence in Russia over the past 10 years has increased dramatically and amounted to 8.2 per 100 thousand population. However, the disease’s true prevalence in the population is unknown, given the following difficulties in establishing this diagnosis: the lack of available high-tech endoscopic methods in clinical practice and technical difficulties in taking biopsy material. At the same time, it is known that it is possible to prevent the neoplastic progression of the metaplastic epithelium with timely and rational patient treatment with BE. The patient management (in BE) main goal is to relieve symptoms, improve the patient’s life quality and prevent the esophagus e pithelium dysplasia progression and EC. This review considers current approaches to patient management in BE on the basis of current data analysis of domestic and foreign literature.

Keywords: Barrett’s esophagus, esophageal cancer, proton pump inhibitors, argon plasma coagulation, photodynamic therapy, cryotherapy.

For citation: Gaus O.V., Akhmedov V.A., Zaytseva I.S. Modern tactics in patient management in Barrett’s esophagus. RMJ. 2019;5:41–44.