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Barrett Esophagus
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Metaplasia of distal esophageal squamous epithelium to columnar epithelium due to chronic reflux esophagitis

          IMAGING

          • General Features

            • Radiographic Findings

              DIFFERENTIAL DIAGNOSIS

                PATHOLOGY

                • General Features

                  • Gross Pathologic & Surgical Features

                    CLINICAL ISSUES

                    • Presentation

                      • Demographics

                        • Treatment

                          • Clinical Features

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              • Image Interpretation Pearls

                                Selected References

                                1. Manning MA et al: Role of multimodality imaging in gastroesophageal reflux disease and its complications, with clinical and pathologic correlation. Radiographics. 40(1):44-71, 2020
                                2. Iyer PG et al: Barrett esophagus. Mayo Clin Proc. 94(9):1888-901, 2019
                                3. Levine MS et al: Consensus statement of society of abdominal radiology disease-focused panel on barium esophagography in gastroesophageal reflux disease. AJR Am J Roentgenol. 207(5):1009-15, 2016
                                4. Dunbar KB et al: Controversies in Barrett esophagus. Mayo Clin Proc. 89(7):973-84, 2014
                                5. Melson J et al: Negative surveillance endoscopy occurs frequently in patients with short-segment non-dysplastic Barrett's esophagus. Dis Esophagus. 28(7):660-5, 2014
                                6. Waxman I et al: Endoscopic diagnosis and therapies for Barrett esophagus. A review. Rev Esp Enferm Dig. 106(2):103-19, 2014
                                7. Cook MB et al: A systematic review and meta-analysis of the sex ratio for Barrett's esophagus, erosive reflux disease, and nonerosive reflux disease. Am J Epidemiol. 162(11):1050-61, 2005
                                8. Luedtke P et al: Radiologic diagnosis of benign esophageal strictures: a pattern approach. Radiographics. 23(4):897-909, 2003
                                9. Yamamoto AJ et al: Short-segment Barrett's esophagus: findings on double-contrast esophagography in 20 patients. AJR Am J Roentgenol. 176(5):1173-8, 2001
                                10. Rosch T: Gastroesophageal reflux disease and Barrett's esophagus. Endoscopy. 32(11):826-35, 2000
                                11. Chen MY et al: Barrett esophagus and adenocarcinoma. Radiol Clin North Am. 32(6):1167-81, 1994
                                12. Glick SN: Barium studies in patients with Barrett's esophagus: importance of focal areas of esophageal deformity. AJR Am J Roentgenol. 163(1):65-7, 1994
                                13. Levine MS: Reflux esophagitis and Barrett's esophagus. Semin Roentgenol. 29(4):332-40, 1994
                                14. Gilchrist AM et al: Barrett's esophagus: diagnosis by double-contrast esophagography. AJR Am J Roentgenol. 150(1):97-102, 1988
                                15. Levine MS et al: Re: Reticular pattern as a radiologic sign of the Barrett esophagus. Radiology. 156(3):843-4, 1985
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Definitions

                                          • Metaplasia of distal esophageal squamous epithelium to columnar epithelium due to chronic reflux esophagitis

                                        IMAGING

                                        • General Features

                                          • Radiographic Findings

                                            DIFFERENTIAL DIAGNOSIS

                                              PATHOLOGY

                                              • General Features

                                                • Gross Pathologic & Surgical Features

                                                  CLINICAL ISSUES

                                                  • Presentation

                                                    • Demographics

                                                      • Treatment

                                                        • Clinical Features

                                                          DIAGNOSTIC CHECKLIST

                                                          • Consider

                                                            • Image Interpretation Pearls

                                                              Selected References

                                                              1. Manning MA et al: Role of multimodality imaging in gastroesophageal reflux disease and its complications, with clinical and pathologic correlation. Radiographics. 40(1):44-71, 2020
                                                              2. Iyer PG et al: Barrett esophagus. Mayo Clin Proc. 94(9):1888-901, 2019
                                                              3. Levine MS et al: Consensus statement of society of abdominal radiology disease-focused panel on barium esophagography in gastroesophageal reflux disease. AJR Am J Roentgenol. 207(5):1009-15, 2016
                                                              4. Dunbar KB et al: Controversies in Barrett esophagus. Mayo Clin Proc. 89(7):973-84, 2014
                                                              5. Melson J et al: Negative surveillance endoscopy occurs frequently in patients with short-segment non-dysplastic Barrett's esophagus. Dis Esophagus. 28(7):660-5, 2014
                                                              6. Waxman I et al: Endoscopic diagnosis and therapies for Barrett esophagus. A review. Rev Esp Enferm Dig. 106(2):103-19, 2014
                                                              7. Cook MB et al: A systematic review and meta-analysis of the sex ratio for Barrett's esophagus, erosive reflux disease, and nonerosive reflux disease. Am J Epidemiol. 162(11):1050-61, 2005
                                                              8. Luedtke P et al: Radiologic diagnosis of benign esophageal strictures: a pattern approach. Radiographics. 23(4):897-909, 2003
                                                              9. Yamamoto AJ et al: Short-segment Barrett's esophagus: findings on double-contrast esophagography in 20 patients. AJR Am J Roentgenol. 176(5):1173-8, 2001
                                                              10. Rosch T: Gastroesophageal reflux disease and Barrett's esophagus. Endoscopy. 32(11):826-35, 2000
                                                              11. Chen MY et al: Barrett esophagus and adenocarcinoma. Radiol Clin North Am. 32(6):1167-81, 1994
                                                              12. Glick SN: Barium studies in patients with Barrett's esophagus: importance of focal areas of esophageal deformity. AJR Am J Roentgenol. 163(1):65-7, 1994
                                                              13. Levine MS: Reflux esophagitis and Barrett's esophagus. Semin Roentgenol. 29(4):332-40, 1994
                                                              14. Gilchrist AM et al: Barrett's esophagus: diagnosis by double-contrast esophagography. AJR Am J Roentgenol. 150(1):97-102, 1988
                                                              15. Levine MS et al: Re: Reticular pattern as a radiologic sign of the Barrett esophagus. Radiology. 156(3):843-4, 1985