ETIO PRECI PREDIS

BARRETT’S ESOPHAGUS
PATHO SYMP DIAGTOOLS
NXDX NX INTRVNTNS
PHARMA MGT PROG
AMBASAN, ELLEN GRACE S. BSN 3A

• Healthy esophageal epithelium is

• Chronic heartburn and
replaced by metaplastic columnar • Age
acid reflux
cells, which are thought to be the • Family history
• Current or past smoking
result of damage to the esophagus • Being male
• Being overweight
caused by continuous exposure to • Being white
the refluxate of gastroesophageal
reflux disease (GERD).

Gastroesophageal
Reflux (GERD) • Frequent heartburn and
regurgitation of stomach contents
• Chest pain
Mucosal Injury • Dysphagia
• Vomiting
• Weight loss

Reflux continues

• Esophagogastroduodenoscopy
Columnar Cell • Endoscopy
Metaplasia • Biopsy
• Ultrasonography

Imbalanced Nutrition: Less Than

Acute Pain related to
Body Requirements related to an
gastroesophageal reflux as
inability to intake enough food because
evidenced by verbalization of chest
of reflux as evidenced by dysphagia,
pain, heartburn, and regurgitation of
regurgitation of stomach contents,
stomach contents
heartburn, vomiting, and weight loss

• Accurately measure the patient’s

• Assess for heartburn.
weight and height.
• Carefully assess pain location and
• Obtain a nutritional history.
discern pain from GERD
• Encourage small frequent meals of
• Keep the patient’s head of the bed
high calories and high protein foods.
elevated for sleeping.
• Instruct to remain in an upright
• Instruct patient to not lie down for
position at least 2 hours after meals;
3 hours after eating.
avoid eating 3 hours before bedtime.
• Monitor and instruct the patient to
• Instruct patient to eat slowly and
take all medicines with plenty of
masticate foods well.
water.
• Instruct patient to avoid alcohol and
tobacco.

• H2 blockers • Proton pump inhibitors

• Promotility agents • Antacids

If treated, those who are diagnosed

with Barrett’s esophagus can expect to If not treated, it can lead to
live a normal life. adenocarcinoma in the esophagus.