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

作者：Whiteman David C^*; Appleyard Mark; Bahin Farzan F; Bobryshev Yuri V; Bourke Michael J; Brown Ian; Chung Adrian; Clouston Andrew; Dickins Emma; Emery Jon; Eslick Guy D; Gordon Louisa G; Grimpen Florian; Hebbard Geoff; Holliday Laura; Hourigan Luke F; Kendall Bradley J; Lee Eric Y T; Levert Mignon Angelique; Lord Reginald V; Lord Sarah J; Maule Derek; Moss Alan; Norton Ian; Olver Ian; Pavey Darren; Raftopoulos Spiro; Rajendra Shan; Schoeman Mark

来源：Journal of Gastroenterology and Hepatology, 2015, 30(5): 804-820.

DOI：10.1111/jgh.12913

• Barrett's esophagus
• clinical practice
• esophageal adenocarcinoma
• guidelines

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.

• 出版日期2015-5