Oesophageal adenocarcinoma is becoming the more common of the two main types of oesophageal cancer with the increasing incidence mirroring the obesity epidemic. Risk factors include Barrett’s oesophagus and gastro-oesophageal reflux disease, which can be recognised early and managed to prevent progression to cancer.
- Oesophageal cancer is the most rapidly increasing cancer diagnosis in Western countries.
- Some of the major risk factors for oesophageal cancer are preventable.
- Barrett’s oesophagus with high-grade dysplasia is a premalignant lesion.
- Identifying patients who require upper gastrointestinal endoscopy and interpreting a histological diagnosis of Barrett’s oesophagus can be complex.
- Red flags for oesophageal cancer are dysphagia, especially with weight loss, a significant family history, male sex or age older than 50 years.
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