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Barretts øsofagus

Dette er en tilstand med forandringer i slimhinnen i nedre del av spiserøret, sannsynligvis som følge av magesyre som over lengre tid har etset slimhinnen.

Personer som har hatt sure oppstøt, halsbrann og/eller brystbrann (refluksplager) i lang tid, har høyere risiko enn andre for å få Barretts øsofagus.

Sist oppdatert:

29. apr. 2021

Dette dokumentet er basert på det profesjonelle dokumentet Barretts øsofagus . Referanselisten for dette dokumentet vises nedenfor

  1. Nasjonalt handlingsprogram med retningslinjer for diagnostikk, behandling og oppfølging av spiserørskreft. Helsedirektoratet sist oppdatert 07.02.2020.
  2. Spechler SJ, Souza RF. Barrett's esophagus. N Engl J Med 2014; 371: 836-45. doi: 10.1056/NEJMra1314704 DOI
  3. Ronkainen J, Aro P, Storskrubb T, et al. Prevalence of Barrret's esophagus in the general population: an endoscopic study. Gastroenterology 2005; 129: 1825-31. Gastroenterology
  4. Ward EM, Wolfsen HC, Achem SR, et al. Barreet's esophagus is common in older men and women undergoing screening colonoscopy regardless of reflux-symptoms. Am J Gastroenterol 2006; 101: 12-7. PubMed
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  8. Oslo universitetssykehus eHåndbok. Medisinsk fagprosedyre. Barrets øsofagus. Nettside besøkt 29.04.21. ehandboken.ous-hf.no
  9. Spechler SJ. Barrett esophagus and risk of esophageal cancer: a clinical review. JAMA. 2013 Aug 14;310(6):627-36. PMID: 23942681 PubMed
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  12. Bennett C, Moayyedi P, Corley DA, et al. BOB CAT: a Large-Scale Review and Delphi Consensus for Management of Barrett's Esophagus With No Dysplasia, Indefinite for, or Low-Grade Dysplasia. Am J Gastroenterol. 2015 ;110:662-82; quiz 683. doi: 10.1038/ajg.2015.55 DOI
  13. National Institute for Health and Clinical Excellence. Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management. Clinical guideline CG184. Last updated: 18 October 2019. www.nice.org.uk
  14. Singh S, Garg SK, Singh PP, et al. Acid-suppressive medications and risk of oesophageal adenocarcinoma in patients with Barrett's oesophagus: a systematic review and meta-analysis. Gut. 2014 ;63(8):1229-37. doi: 10.1136/gutjnl-2013-305997 DOI
  15. Sarna VK, Hauge, T. Barretts øsofagus. Indremedisineren 2021. indremedisineren.no
  16. Sharma P. Barrett Esophagus: A Review. JAMA. 2022 Aug 16;328(7):663-671. PMID: 35972481 PubMed
  17. Shaheen NJ, Falk GW, Iyer PG et al. Diagnosis and Management of Barrett's Esophagus: An Updated ACG Guideline. Am J Gastroenterol. 2022 Apr 1;117(4):559-587. PMID: 35354777.
  18. Wassenaar EB, Oelschlager BK. Effect of medical and surgical treatment of Barrett's metaplasia. World J Gastroenterol 2010; 16: 3773-9. PubMed
  19. de Jonge PJ, Spaander MC, Bruno MJ, et al. Acid suppression and surgical therapy for Barrett's oesophagus. Best Pract Res Clin Gastroenterol. 2015;29:139-50. doi: 10.1016/j.bpg.2014.11.005 DOI
  20. Jankowski JAZ, de Caestecker J, Love SB, et al. Esomeprazole and aspirin in Barrett's oesophagus (AspECT): a randomised factorial trial. Lancet. 2018 Aug 4;392(10145):400-408. doi: 10.1016/S0140-6736(18)31388-6. Epub 2018 Jul 26. (Original) PMID: 30057104 PubMed
  21. Shaheen NJ, Falk GW, Iyer PG, Gerson LB; American College of Gastroenterology. ACG Clinical Guideline: Diagnosis and Management of Barrett's Esophagus. Am J Gastroenterol. 2016 Jan;111(1):30-50; quiz 51. Epub 2015 Nov 3. Erratum in: Am J Gastroenterol. 2016 Jul;111(7):1077. PMID: 26526079. PubMed
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