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How to diagnose and manage patients with Barrett's esophagus in China
Authors:Huang Qin  Fang Dian Chun  Fang Jing Yuan  Chen Min Hu  Zhang Jun  Lin Lin  Dai Ning  Yu Cheng Gong  Zhang Hong Jie
Affiliation:Department of Pathology, Nanjing Drum Tower Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, China. Qin.huang@va.gov
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.
Keywords:Barrett's esophagus  cancer  Chinese  esophagus  gastroesophageal junction
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