Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 48: Which Patients With Barrett’S Should Be Referred For Photodynamic Therapy? (continued)

The use of ablative therapy for Barrett’s esophagus is an area of long-term debate in the gastrointestinal (GI) literature. As one answers this question, it is important to keep in mind that the goals of therapy for Barrett’s esophagus might best be placed into the following: 1. Reduce mortality. 2. Reduce cancer. 3. Improve the quality of life. The latter most simply and straightforwardly can be improved by appropriately treating symptoms of reflux and developing rapport with the patient. A clear understanding of the long-term outcomes, including the risk for cancer, is crucial…