Endoscopic Biopsy demonstrating High grade Dysplasia in Barrett's Oesophagus

    Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


    A 56-year-old man with no significant comorbidities presented with a 25-year history of intermittent heartburn symptoms consistent with gastroesophageal reflux disease. Seven years earlier he sought medical care for increasingly severe heartburn and underwent a gastroduodenoscopy for the first time. At that endoscopy, Barrett’s esophagus was identified, and measured to be 6 cm in maximal length with 5 cm of circumferential Barrett’s esophagus and 1 cm of Barrett’s “tongues” (C5M6). Biopsies from the distal esophageal mucosa confrimed Barrett’s esophagus by demonstrating columnar mucosa with intestinal metaplasia, but no dysplasia. He was commenced on a program of regular surveillance endoscopy, and his reflux symptoms were managed with a proton pump inhibitor (pantoprazole 40 mg daily).
    Original languageEnglish
    Title of host publicationDilemmas in Abdominal Surgery
    Subtitle of host publicationA Case-Based Approach
    EditorsSavio George Barreto, Shailesh V Shrikhande
    Place of PublicationFlorida
    PublisherRoutlege, Taylor and Francis
    Number of pages5
    ISBN (Electronic)9780429198359
    ISBN (Print)9780367559014, 9780367187699
    Publication statusPublished - 2021


    • Endoscopic Biopsy
    • High-Grade Dysplasia
    • Barrett's Esophagus


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