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Demo Question For heartburn and dyspepsia, a 39-year-old sailor has seen his general practitioner (GP) several times. His visits had been erratic, and in the past, his therapies had been patchy.
This time, an upper GI endoscopy revealed Barret’s esophagus following an intense episode of dyspepsia and abdominal pain. The histology revealed a very low degree of dysplasia. Which managerial path is the greatest to follow next? Endoscopic ablation treatment A PPI Therapy Trial Endoscopic removal of the mucosa Lower resection of the esophagus Just observation Important Takeaways As first line therapy, PPIs are used to treat Barrett’s esophagus. Justification Gastro-oesophageal reflux disease is the cause of Barrett’s oesophagus. PPI-based therapy is the initial treatment for this illness. PPI dosage of once day is typically recommended. It’s not a good idea to merely observe. Barrett’s oesophagus is a condition that is not cancerous. Thus, prompt action is required. Patients with moderate to severe grade dysplasia are treated with the three remaining therapies according to the NICE guidelines. Additionally, these treatment techniques may be used if PPI therapy is not meeting expectations. Recurrent diseases are also treated with them.