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A 59-Year-Old Woman With Gastroesophageal Reflux Disease and Barrett Esophagus, 4 Years Later
Risa B. Burns, MD, MPH
JAMA. 2006;296:2140.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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In October 2002, at Medicine Grand Rounds, Stuart Spechler, MD, discussed care for a 59-year-old woman with gastroesophageal reflux disease (GERD) and Barrett esophagus.1 Mrs J had a long history of GERD and documented Barrett esophagus. At that time her symptoms were well controlled with omeprazole (20 mg/d) and she was undergoing yearly endoscopy for surveillance. Mrs J and her physician wondered whether she needed yearly endoscopy or whether her risk of esophageal cancer is lessening given a series of recent endoscopies without evidence of dysplasia on biopsy. Dr Spechler discussed the epidemiology, initial evaluation, and medical and surgical treatment of GERD. He also reviewed management recommendations for patients with Barrett esophagus. He recommended that Mrs J continue indefinitely with coventional-dose proton pump inhibitor therapy that has controlled her GERD symptoms. He reassured her that her risk of developing esophageal cancer is small, no more . . . [Full Text of this Article]MRS J
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