How to diagnose and manage patients with Barrett's esophagus in China |
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Authors: | Huang Qin Fang Dian Chun Fang Jing Yuan Chen Min Hu Zhang Jun Lin Lin Dai Ning Yu Cheng Gong Zhang Hong Jie |
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Affiliation: | Department of Pathology, Nanjing Drum Tower Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, China. Qin.huang@va.gov |
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Abstract: | In order to prevent the development of Barrett's esophagus (BE)-related esophageal cancer in China and facilitate the communication of research results among different centers, we propose using standardized diagnostic criteria and taking a conservative approach to diagnose and manage BE patients. BE patients without dysplasia need to be treated medically. For low-grade dysplasia, an annual endoscopy with biopsies is recommended, along with medical therapy. For high-grade dysplasia and intramucosal carcinoma, an endoscopic or surgical intervention is suggested. All BE patients should be followed up closely. |
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Keywords: | Barrett's esophagus cancer Chinese esophagus gastroesophageal junction |
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