Barrett's esophagus differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Barrett%27s_esophagus]] | |||
{{CMG}}; {{AE}} {{AMK}} | {{CMG}}; {{AE}} {{AMK}} | ||
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==Differentiating Barrett's Esophagus from other Diseases== | ==Differentiating Barrett's Esophagus from other Diseases== | ||
Barrett's esophagus should be differentiated from the following diseases; | Barrett's esophagus should be differentiated from the following diseases; | ||
*[[Esophagitis]] | *[[Esophagitis]]<ref name="pmid16798392">{{cite journal |author=Moayyedi P, Talley NJ |title=Gastro-oesophageal reflux disease |journal=Lancet |volume=367 |issue=9528 |pages=2086–100 |year=2006 |month=June |pmid=16798392 |doi=10.1016/S0140-6736(06)68932-0 |url=}}</ref> | ||
** Pill [[esophagitis]] | ** Pill [[esophagitis]] | ||
** [[Eosinophilic esophagitis]] | ** [[Eosinophilic esophagitis]] | ||
** Infectious esophagitis | ** Infectious esophagitis | ||
*[[GERD]]<ref>http://www.wrongdiagnosis.com/b/barretts_esophagus/misdiag.htm</ref><ref name="pmid25133039">{{cite journal| author=Badillo R, Francis D| title=Diagnosis and treatment of gastroesophageal reflux disease. | journal=World J Gastrointest Pharmacol Ther | year= 2014 | volume= 5 | issue= 3 | pages= 105-12 | pmid=25133039 | doi=10.4292/wjgpt.v5.i3.105 | pmc=4133436 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25133039 }} </ref> | *[[GERD]]<ref>http://www.wrongdiagnosis.com/b/barretts_esophagus/misdiag.htm</ref><ref name="pmid25133039">{{cite journal| author=Badillo R, Francis D| title=Diagnosis and treatment of gastroesophageal reflux disease. | journal=World J Gastrointest Pharmacol Ther | year= 2014 | volume= 5 | issue= 3 | pages= 105-12 | pmid=25133039 | doi=10.4292/wjgpt.v5.i3.105 | pmc=4133436 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25133039 }} </ref> | ||
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* [[Peptic ulcer disease]] | * [[Peptic ulcer disease]] | ||
* Esophageal motor disorders | * Esophageal motor disorders | ||
<small><small> | |||
{| class="wikitable" | {| class="wikitable" | ||
! rowspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Disease | ! rowspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Disease | ||
| Line 39: | Line 38: | ||
| align="center" style="background:#4479BA; color: #FFFFFF;" |Type | | align="center" style="background:#4479BA; color: #FFFFFF;" |Type | ||
|- | |- | ||
![[Barrett's esophagus]] | |||
|Gradual | |Gradual | ||
|<nowiki>+</nowiki> | |<nowiki>+</nowiki> | ||
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* [[Esophageal]] [[Biopsy]] | * [[Esophageal]] [[Biopsy]] | ||
|- | |- | ||
![[Eosinophilic esophagitis]] | |||
|Gradual | |Gradual | ||
| + | | + | ||
| Line 89: | Line 88: | ||
* [[Esophageal]] [[biopsy]] | * [[Esophageal]] [[biopsy]] | ||
|- | |- | ||
! align="center" style="padding: 5px 5px; background: " |[[Esophageal carcinoma]] | |||
| | | | ||
* Gradual | * Gradual | ||
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* [[Biopsy]] | * [[Biopsy]] | ||
|- | |- | ||
! align="center" style="padding: 5px 5px; background: " |Motor disorders | |||
([[Myasthenia gravis]]) | ([[Myasthenia gravis]]) | ||
| | | | ||
| Line 122: | Line 121: | ||
|Progressive | |Progressive | ||
|<nowiki>+/-</nowiki> | |<nowiki>+/-</nowiki> | ||
| | | - | ||
| | | | ||
* [[Ptosis]] | * [[Ptosis]] | ||
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* Anti–[[acetylcholine receptor]] [[antibody test]] | * Anti–[[acetylcholine receptor]] [[antibody test]] | ||
|- | |- | ||
! align="center" style="padding: 5px 5px; background: " |[[GERD]] | |||
| | | | ||
* Gradual | * Gradual | ||
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{{WS}} | {{WS}} | ||
[[Category: (name of the system)]] | [[Category: (name of the system)]] | ||
[[Category:Differential diagnosis]] | |||
Latest revision as of 22:00, 7 February 2019
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amresh Kumar MD [2]
Overview
Barrett's esophagus must be differentiated from esophagitis, peptic ulcer disease, GERD, esophageal carcinoma and esophageal motor disorders.
Differentiating Barrett's Esophagus from other Diseases
Barrett's esophagus should be differentiated from the following diseases;
- Esophagitis[1]
- Pill esophagitis
- Eosinophilic esophagitis
- Infectious esophagitis
- GERD[2][3]
- Esophageal carcinoma [4]
- Peptic ulcer disease
- Esophageal motor disorders
| Disease | Signs and Symptoms | Barium esophagogram | Endoscopy | Other imaging and laboratory findings | Gold Standard | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Onset | Dysphagia | Weight loss | Heartburn | Other findings | Mental status | |||||||
| Solids | Liquids | Type | ||||||||||
| Barrett's esophagus | Gradual | + | - | Progressive | +/- | + | GERD Symptoms | Normal |
|
|
|
|
| Eosinophilic esophagitis | Gradual | + | Progressive | +/- | +/- |
|
Normal |
|
|
|
||
| Esophageal carcinoma |
|
+ | + | Progressive | + | +/- | Normal |
 |
||||
| Motor disorders |
|
+ | + | Progressive | +/- | - | Normal |
|
|
|
||
| GERD |
|
+ | - | Progressive | +/- | + | Normal |
|
|
| ||
References
- ↑ Moayyedi P, Talley NJ (2006). "Gastro-oesophageal reflux disease". Lancet. 367 (9528): 2086–100. doi:10.1016/S0140-6736(06)68932-0. PMID 16798392. Unknown parameter
|month=ignored (help) - ↑ http://www.wrongdiagnosis.com/b/barretts_esophagus/misdiag.htm
- ↑ Badillo R, Francis D (2014). "Diagnosis and treatment of gastroesophageal reflux disease". World J Gastrointest Pharmacol Ther. 5 (3): 105–12. doi:10.4292/wjgpt.v5.i3.105. PMC 4133436. PMID 25133039.
- ↑ Saenko VF, Tutchenko NI, Kurilets IP, Deĭneka SV, Malinin VV (1985). "[Diagnosis and surgical treatment of nonepithelial stomach tumors]". Klin Khir (5): 11–5. PMID 4021327.