Complications
Risk of dysplasia is low in Barrett esophagus.
Progression from dysplasia to adenocarcinoma can be markedly reduced by endoscopic ablative therapies.
Endoscopic screening and surveillance identifies early lesions that are amenable to endoscopic therapies.
Esophageal stricture is the result of the acid reflux that occurs in patients with Barrett esophagus. The treatment for such strictures is generally endoscopic dilation, although for some intractable cases, surgical resection of the stricture is required.
Using both generic and disease-specific instruments, patients with Barrett esophagus have deficits in multiple facets of quality of life. These include not only esophageal-related symptoms but psychological consequences such as depression, anxiety, and stress.[66]
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