Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 26: Who Is At Risk For Barrett’S Esophagus? Do African Americans Need To Worry About Barrett’S Esophagus? (continued)

The current working definition, as defined by the American College of Gastroenterology (ACG) guidelines, is a change in the esophageal epithelium of any length that can be recognized during endoscopy and is confirmed by biopsy to have intestinal metaplasia. The working definition excludes intestinal metaplasia of the cardia as part of the definition of Barrett’s esophagus. The current definition seeks to eliminate the concept of long or short segment Barrett’s. Whether patients with GERD should be screened for Barrett’s esophagus is debated, as it has been difficult to…