Diagnostic and comprehensive treatment of Barrett esophagus in patients with hiatal hernia
Barrett esophagus (BE) is a condition associated with dramatically increased risk of Esophageal adenocarcinoma occurrence. Although this complication of gastroesophageal reflux disease is highly prevalent there is no unified approach to treatment and diagnosing of Barrett esophagus neither in Russia nor abroad. We suggested a comprehensive diagnosing and treatment algorithm which makes it possible to reveal, verify and eliminate Barrett esophagus effectively. Comparative results of application of the most widespreaded diagnostic and treatment procedures combinations and suggested comprehensive algorithm for diagnostic and treatment of 68 patients with Barrett esophagus are presented. Comprehensive algorithm showed higher efficacy as compared with the other procedures combinations. Complete recovery was achieved in 30 of 35 (85,7%) patients, not a single case of Esophageal adenocarcinoma was registered pending observation time. Taking these finding into account we recommend to apply comprehensive diagnostic and treatment algorithm in clinical practice.