U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Barrett esophagus

MedGen UID:
2551
Concept ID:
C0004763
Disease or Syndrome
Synonyms: BARRETT METAPLASIA; Barrett's esophagus
SNOMED CT: Barrett esophagus (302914006); Barretts esophagus (302914006); Columnar-lined esophagus (302914006); Gastric metaplasia of esophagus (302914006); Barrett's syndrome (302914006); Barrett's esophagus (302914006); CELLO - Columnar epithelial-lined lower esophagus (302914006); CLE - Columnar-lined esophagus (302914006); Columnar epithelial-lined lower esophagus (302914006)
 
Genes (locations): ASCC1 (10q22.1); CTHRC1 (8q22.3); MSR1 (8p22)
 
HPO: HP:0100580
Monarch Initiative: MONDO:0013662
OMIM®: 614266
Orphanet: ORPHA1232

Definition

Barrett esophagus, or Barrett metaplasia, describes the phenotypic change of normal esophageal squamous epithelium to a columnar and intestinal-type epithelium. This metaplastic change is important because patients with Barrett esophagus have an increased risk of esophageal adenocarcinoma. The main cause of Barrett metaplasia is gastroesophageal reflux (GER; 109350). The retrograde movement of acid and bile salts from the stomach into the esophagus in this disease causes prolonged injury to the esophageal epithelium and induces chronic esophagitis, which in turn is believed to trigger the pathologic changes (summary by Wong et al., 2005). [from OMIM]

Clinical features

From HPO
Barrett esophagus
MedGen UID:
2551
Concept ID:
C0004763
Disease or Syndrome
Barrett esophagus, or Barrett metaplasia, describes the phenotypic change of normal esophageal squamous epithelium to a columnar and intestinal-type epithelium. This metaplastic change is important because patients with Barrett esophagus have an increased risk of esophageal adenocarcinoma. The main cause of Barrett metaplasia is gastroesophageal reflux (GER; 109350). The retrograde movement of acid and bile salts from the stomach into the esophagus in this disease causes prolonged injury to the esophageal epithelium and induces chronic esophagitis, which in turn is believed to trigger the pathologic changes (summary by Wong et al., 2005).
Carcinoma of esophagus
MedGen UID:
56256
Concept ID:
C0152018
Neoplastic Process
The presence of a carcinoma of the esophagus.
Esophageal ulceration
MedGen UID:
56254
Concept ID:
C0151970
Disease or Syndrome
Defect in the epithelium of the esophagus, essentially an open sore in the lining of the esophagus.
Gastroesophageal reflux
MedGen UID:
1368658
Concept ID:
C4317146
Finding
A condition in which the stomach contents leak backwards from the stomach into the esophagus through the lower esophageal sphincter.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVBarrett esophagus
Follow this link to review classifications for Barrett esophagus in Orphanet.

Conditions with this feature

Barrett esophagus
MedGen UID:
2551
Concept ID:
C0004763
Disease or Syndrome
Barrett esophagus, or Barrett metaplasia, describes the phenotypic change of normal esophageal squamous epithelium to a columnar and intestinal-type epithelium. This metaplastic change is important because patients with Barrett esophagus have an increased risk of esophageal adenocarcinoma. The main cause of Barrett metaplasia is gastroesophageal reflux (GER; 109350). The retrograde movement of acid and bile salts from the stomach into the esophagus in this disease causes prolonged injury to the esophageal epithelium and induces chronic esophagitis, which in turn is believed to trigger the pathologic changes (summary by Wong et al., 2005).
Gastroesophageal reflux disease
MedGen UID:
6553
Concept ID:
C0017168
Disease or Syndrome
Gastroesophageal reflux (GER) is characterized by the retrograde movement of stomach contents into the esophagus. In its most severe form, GER results in extensive tissue damage caused by acid reflux. In adolescents and adults, and even infrequently in children, chronic GER is associated with the risk of developing Barrett metaplasia (614266), a premalignant lesion of the esophageal mucosa (Hu et al., 2000). In turn, Barrett metaplasia is correlated with the development of adenocarcinoma of the esophagus (see 614266), estimated as the fifth most prevalent neoplasia in the Western world (Lagergren et al., 1999).
Mungan syndrome
MedGen UID:
369554
Concept ID:
C1969653
Disease or Syndrome
Mungan syndrome (MGS) is characterized by chronic intestinal pseudoobstruction (CIPO), megaduodenum, long-segment Barrett esophagus, and cardiac abnormalities of variable severity (summary by Bonora et al., 2015).
Visceral myopathy 2
MedGen UID:
1783630
Concept ID:
C5543466
Disease or Syndrome
Visceral myopathy-2 (VSCM2) is characterized by gastrointestinal symptoms resulting from intestinal dysmotility and paresis, including abdominal distention, pain, nausea, and vomiting. Some patients exhibit predominantly esophageal symptoms, with hiatal hernia and severe reflux resulting in esophagitis and stricture, whereas others experience chronic intestinal pseudoobstruction. Bladder involvement resulting in megacystis and megaureter has also been observed and may be evident at birth (Dong et al., 2019; Gilbert et al. (2020)).

Professional guidelines

PubMed

Weusten BLAM, Bisschops R, Dinis-Ribeiro M, di Pietro M, Pech O, Spaander MCW, Baldaque-Silva F, Barret M, Coron E, Fernández-Esparrach G, Fitzgerald RC, Jansen M, Jovani M, Marques-de-Sa I, Rattan A, Tan WK, Verheij EPD, Zellenrath PA, Triantafyllou K, Pouw RE
Endoscopy 2023 Dec;55(12):1124-1146. Epub 2023 Oct 9 doi: 10.1055/a-2176-2440. PMID: 37813356
Farrell B, Pottie K, Thompson W, Boghossian T, Pizzola L, Rashid FJ, Rojas-Fernandez C, Walsh K, Welch V, Moayyedi P
Can Fam Physician 2017 May;63(5):354-364. PMID: 28500192Free PMC Article
Rizvi QU, Balachandran A, Koay D, Sharma P, Singh R
Surg Oncol Clin N Am 2017 Apr;26(2):179-191. Epub 2017 Feb 14 doi: 10.1016/j.soc.2016.10.007. PMID: 28279463

Curated

NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) Esophageal and Esophagogastric Junction Cancers, 2024

UK NICE Guidance, NICE Guideline NG231, Barrett's oesophagus and stage 1 oesophageal adenocarcinoma: monitoring and management, 2023

UK NICE Clinical Guideline CG184, Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management, 2019

Recent clinical studies

Etiology

Sharma P
JAMA 2022 Aug 16;328(7):663-671. doi: 10.1001/jama.2022.13298. PMID: 35972481
Shaheen NJ
Gastrointest Endosc Clin N Am 2017 Jul;27(3):xv-xvi. doi: 10.1016/j.giec.2017.04.001. PMID: 28577775
Phillips WA, Lord RV, Nancarrow DJ, Watson DI, Whiteman DC
J Gastroenterol Hepatol 2011 Apr;26(4):639-48. doi: 10.1111/j.1440-1746.2010.06602.x. PMID: 21166712
Ferguson MK, Little AG, Skinner DB
Adv Surg 1988;21:127-55. PMID: 3318308
Spechler SJ, Goyal RK
N Engl J Med 1986 Aug 7;315(6):362-71. doi: 10.1056/NEJM198608073150605. PMID: 2874485

Diagnosis

Shaheen NJ
Gastrointest Endosc Clin N Am 2017 Jul;27(3):xv-xvi. doi: 10.1016/j.giec.2017.04.001. PMID: 28577775
Falk GW
Gastroenterol Clin North Am 2015 Jun;44(2):xiii. Epub 2015 Apr 9 doi: 10.1016/j.gtc.2015.03.003. PMID: 26021207
Spechler SJ, Souza RF
N Engl J Med 2014 Aug 28;371(9):836-45. doi: 10.1056/NEJMra1314704. PMID: 25162890
Spechler SJ
Semin Oncol 1994 Aug;21(4):431-7. PMID: 8042041
Spechler SJ, Goyal RK
N Engl J Med 1986 Aug 7;315(6):362-71. doi: 10.1056/NEJM198608073150605. PMID: 2874485

Therapy

Sharma P
JAMA 2022 Aug 16;328(7):663-671. doi: 10.1001/jama.2022.13298. PMID: 35972481
Martínez-Domínguez SJ, Lanas Á, Domper-Arnal MJ
Med Clin (Barc) 2022 Jul 22;159(2):92-100. Epub 2022 May 21 doi: 10.1016/j.medcli.2022.02.012. PMID: 35606193
Rees JR, Lao-Sirieix P, Wong A, Fitzgerald RC
Cochrane Database Syst Rev 2021 Mar 4;3(3):CD004060. doi: 10.1002/14651858.CD004060.pub3. PMID: 33661543Free PMC Article
Spechler SJ, Souza RF
N Engl J Med 2014 Aug 28;371(9):836-45. doi: 10.1056/NEJMra1314704. PMID: 25162890
Quaroni L, Zhao R, Casson AG
Expert Rev Gastroenterol Hepatol 2009 Dec;3(6):577-80. doi: 10.1586/egh.09.43. PMID: 19929578

Prognosis

Benvenga R, Roussel J, Cohen R, Bouchoucha M, Bendacha Y, Catheline JM
J Visc Surg 2022 Feb;159(1):39-42. Epub 2020 Nov 27 doi: 10.1016/j.jviscsurg.2020.11.003. PMID: 33257281
Tan WK, Sharma AN, Chak A, Fitzgerald RC
Gastrointest Endosc Clin N Am 2021 Jan;31(1):43-58. doi: 10.1016/j.giec.2020.08.004. PMID: 33213799
Saxena N, Inadomi JM
Gastrointest Endosc Clin N Am 2017 Jul;27(3):397-421. Epub 2017 Apr 4 doi: 10.1016/j.giec.2017.02.005. PMID: 28577764
Vaughan TL, Fitzgerald RC
Nat Rev Gastroenterol Hepatol 2015 Apr;12(4):243-8. Epub 2015 Feb 10 doi: 10.1038/nrgastro.2015.24. PMID: 25666644Free PMC Article
Chang P, Friedenberg F
Gastroenterol Clin North Am 2014 Mar;43(1):161-73. Epub 2013 Dec 27 doi: 10.1016/j.gtc.2013.11.009. PMID: 24503366Free PMC Article

Clinical prediction guides

Sharma P
JAMA 2022 Aug 16;328(7):663-671. doi: 10.1001/jama.2022.13298. PMID: 35972481
Gupta M, Iyer PG
Gastroenterol Clin North Am 2015 Jun;44(2):265-83. doi: 10.1016/j.gtc.2015.02.003. PMID: 26021194
Parker CE, Spada C, McAlindon M, Davison C, Panter S
Expert Rev Gastroenterol Hepatol 2015 Jan;9(1):79-89. Epub 2014 Dec 8 doi: 10.1586/17474124.2014.934357. PMID: 25484107
Singh R, Yeap SP
Expert Rev Gastroenterol Hepatol 2015 Apr;9(4):475-85. Epub 2014 Nov 15 doi: 10.1586/17474124.2015.983080. PMID: 25399554
Kaz AM, Grady WM
Cancer Lett 2014 Jan 28;342(2):193-9. Epub 2012 Mar 7 doi: 10.1016/j.canlet.2012.02.036. PMID: 22406828Free PMC Article

Recent systematic reviews

Vespa E, Pellegatta G, Chandrasekar VT, Spadaccini M, Patel H, Maselli R, Galtieri PA, Carlani E, Sharma P, Hassan C, Repici A
Endoscopy 2023 Feb;55(2):167-175. Epub 2022 Jul 7 doi: 10.1055/a-1894-0147. PMID: 35798336
Rees JR, Lao-Sirieix P, Wong A, Fitzgerald RC
Cochrane Database Syst Rev 2021 Mar 4;3(3):CD004060. doi: 10.1002/14651858.CD004060.pub3. PMID: 33661543Free PMC Article
Qumseya BJ, Bartel MJ, Gendy S, Bain P, Qumseya A, Wolfsen H
Dig Liver Dis 2018 May;50(5):438-445. Epub 2018 Mar 1 doi: 10.1016/j.dld.2018.02.005. PMID: 29573963
Higuera-de-la-Tijera F
Medwave 2018 Mar 14;18(2):e7179. doi: 10.5867/medwave.2018.02.7179. PMID: 29547594
Lord RV
Minerva Chir 2011 Feb;66(1):1-6. PMID: 21389920

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • NCCN, 2024
      NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) Esophageal and Esophagogastric Junction Cancers, 2024
    • NICE, 2023
      UK NICE Guidance, NICE Guideline NG231, Barrett's oesophagus and stage 1 oesophageal adenocarcinoma: monitoring and management, 2023
    • NICE, 2019
      UK NICE Clinical Guideline CG184, Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management, 2019

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...