Australian clinical practice guidelines for the diagnosis and management of Barrett's esophagus and early esophageal adenocarcinoma

David C. Whiteman*, Mark Appleyard, Farzan F. Bahin, Yuri V. Bobryshev, Michael J. Bourke, Ian Brown, Adrian Chung, Andrew Clouston, Emma Dickins, Jon Emery, Guy D. Eslick, Louisa G. Gordon, Florian Grimpen, Geoff Hebbard, Laura Holliday, Luke F. Hourigan, Bradley J. Kendall, Eric Y T Lee, Angelique Levert-Mignon, Reginald V. LordSarah J. Lord, Derek Maule, Alan Moss, Ian Norton, Ian Olver, Darren Pavey, Spiro Raftopoulos, Shan Rajendra, Mark Schoeman, Rajvinder Singh, Freddy Sitas, B. Mark Smithers, Andrew C. Taylor, Melissa L. Thomas, Iain Thomson, Henry To, Jutta von Dincklage, Christine Vuletich, David I. Watson, Ian F. Yusoff

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

66 Citations (Scopus)

Abstract

Barrett's esophagus (BE), a common condition, is the only known precursor to esophageal adenocarcinoma (EAC). There is uncertainty about the best way to manage BE as most people with BE never develop EAC and most patients diagnosed with EAC have no preceding diagnosis of BE. Moreover, there have been recent advances in knowledge and practice about the management of BE and early EAC. To aid clinical decision making in this rapidly moving field, Cancer Council Australia convened an expert working party to identify pertinent clinical questions. The questions covered a wide range of topics including endoscopic and histological definitions of BE and early EAC; prevalence, incidence, natural history, and risk factors for BE; and methods for managing BE and early EAC. The latter considered modification of lifestyle factors; screening and surveillance strategies; and medical, endoscopic, and surgical interventions. To answer each question, the working party systematically reviewed the literature and developed a set of recommendations through consensus. Evidence underpinning each recommendation was rated according to quality and applicability.

Original languageEnglish
Pages (from-to)804-820
Number of pages17
JournalJournal of Gastroenterology and Hepatology (Australia)
Volume30
Issue number5
DOIs
Publication statusPublished - 1 May 2015
Externally publishedYes

Keywords

  • Barrett's esophagus
  • Clinical practice
  • Esophageal adenocarcinoma
  • Guidelines

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