A multicenter study from the Netherlands showed regular endoscopic testing in patients with Barrett's esophagus may lead to earlier detection of esophageal cancer, when it is more easily treated. The study adhered to American College of Gastroenterology endoscopy guidelines that call for surveillance every three to five years for nondysplastic Barrett's patients.
U.S. and international experts recommended routine use of the confocal laser endomicroscopy system Cellvizio to improve diagnosis and management of Barrett's esophagus, colorectal lesions, biliary strictures and inflammatory bowel diseases. The experts also made recommendations on training and credentialing.
People who made dietary and exercise changes together did a better job meeting nutrition and activity goals than those who made the changes separately or did not make changes at all, Stanford University researchers reported. Registered dietitian Felicia Stoler says people would rather change what they eat than change their exercise, but those who become more physically active tend to feel better about themselves, and dietary improvements often follow.
For some people, years of acid reflux can damage the lining of the esophagus and lead to a condition called Barrett's esophagus, Dr. Paul Donohue writes in his medical column. If left untreated, Barrett's esophagus can evolve into esophageal cancer.
U.S. health officials say hospitalizations for esophageal disorders doubled between 1988 and 2005 and the rate of esophageal cancer increased sixfold in the past 20 years. Medical professionals are focused on treating Barrett's esophagus in patients to prevent their condition from progressing to cancer.