Screening for barrett's esophagus and esophageal adenocarcinoma: Rationale, recent progress, challenges, and future directions

Sarmed S. Sami, Krish Ragunath, Prasad G. Iyer

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

As the incidence and mortality of esophageal adenocarcinoma continue to increase, strategies to counter this need to be explored. Screening for Barrett's esophagus, which is the known precursor of a large majority of adenocarcinomas, has been debated without a firm consensus. Given evidence for and against perceived benefits of screening, the multitude of challenges in the implementation of such a strategy and in the downstream management of subjects with Barrett's esophagus who could be diagnosed by screening, support for screening has been modest. Recent advances in the form of development and initial accuracy of noninvasive tools for screening, risk assessment tools, and biomarker panels to risk stratify subjects with BE, have spurred renewed interest in the early detection of Barrett's esophagus and related neoplasia, particularly with the advent of effective endoscopic therapy. In this review, we explore in depth the potential rationale for screening for Barrett's esophagus, recent advances that have the potential of making screening feasible, and also highlight some of the challenges that will have to be overcome to develop an effective approach to improve the outcomes of subjects with esophageal adenocarcinoma.

Original languageEnglish (US)
Pages (from-to)623-634
Number of pages12
JournalClinical Gastroenterology and Hepatology
Volume13
Issue number4
DOIs
StatePublished - Apr 1 2015

Keywords

  • Barrett's Esophagus
  • Esophageal Adenocarcinoma
  • Risk Stratification
  • Screening
  • Screening Tools

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Fingerprint Dive into the research topics of 'Screening for barrett's esophagus and esophageal adenocarcinoma: Rationale, recent progress, challenges, and future directions'. Together they form a unique fingerprint.

Cite this