True statement regarding barret&;s esophagus: (A) Histamine antagonist, (B) Proton pump inhibitor, (C) Helicobactor pylori triple therapy, (D) Endoscopic surveillance with biopsy every 2 years
Answer is D. Management of BARRETT&;S OESOPHAGUS * Regular endoscopic biopsy and surveillance for low-grade dysplasia. * Ablation of Barrett's oesophagus by laser. * Photodynamic therapy - through endoscopy. * Argon beam coagulation. * Proton pump inhibitors - high dose for 3-6 months. * Antireflux treatment by surgery. * Resection---Always better choice - for high-grade dysplasia. * Endoscopic mucosal resection. Ref: SRB&;s manual of surgery,3 rd ed, pg no 744