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Clinical Case 10
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1

A 60 year-old retired Caucasian man has come to your office to establish primary care. He has a history of Barretts’ esophagus diagnosed 5 years ago by EGD. The EGD was done to evaluate his stomach for recurrent peptic ulcer disease (after he had an upper GI bleed for a gastric ulcer attributed to NSAID use). He is otherwise healthy. His habits include a cigar 3 times weekly and 2 glasses of red wine every evening. He asks for your recommendations with regards to his ‘pre-cancerous esophagus.’

Which of the following statements is most correct with regards to Barretts’ esophagus?
A)The risk of developing esophageal cancer is approximately 2 times that of the general population.
B)The mean annual incidence of esophageal cancer is 5% per year.
C)Patients undergoing surveillance endoscopy are more likely to have cancer detected at lower stages (stage 1-2) than those without surveillance.
D)People with short segments of Barretts’ esophagus (less than 2 cm) appear to be at highest risk for the development of adenocarcinoma.
E)Barretts’ esophagus is more common in African-American women.





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