Expert Diagnosis is Key!
Comprehensive evaluation with accurate diagnosis is the foundation for
achieving highly successful outcomes. That’s why it’s important
to seek care from an academic-level center that provides a multidisciplinary,
specialized team of gastroesophageal experts experienced in the accurate
diagnosis of Barrett’s esophagus, as well as other complex gastroesophageal
Hoag’s state-of-the-art diagnostic technologies provide our team
with the latest modalities in the accurate diagnosis of gastroesophageal
disorders. In order to determine if you have Barrett’s esophagus,
your physician may require you to undergo one or more important tests, such as:
Endoscopy is a minimally invasive procedure that allows a physician to look inside
the esophagus, stomach, and duodenum (part of the small intestine). During
an upper endoscopy, a thin, lighted tube called an endoscope is carefully
guided down the esophagus. The endoscope transmits a high definition image
to a monitor, so the physician can view the lining of these organs. Many
times, a sample of tissue is obtained during this procedure for biopsy.
Biopsy is the removal of a sample of tissue, or cells, so that they can be examined
by a pathologist. Biopsies are a definitive means to determine whether
or not a tissue sample is abnormal, because rather than relying on visible
clues via endoscopy alone, a biopsy is able to reveal microscopic evidence
if changes to cells (called dysplasia) have occurred.
Determining the Degree of Dysplasia
Once a tissue sample is obtained, the pathologist reviews it and determines
the degree of changes (dysplasia) in the cells. The type of dysplasia
detected in the esophageal tissue determines the best course of treatment
for the individual patient.
Grades of dysplasia include:
No dysplasia means no changes were found in the esophageal cells at this time.
Low-grade dysplasia means the esophageal cells show small signs of changes taking place.
High-grade dysplasia means the esophageal cells show many changes are occurring. High-grade
dysplasia is considered the final step before cells change into esophageal cancer.
The Hoag-USC gastroesophageal program benefits from having a world-renowned
expert pathologist in reflux disease and Barrett’s esophagus as
part of its multidisciplinary team. Due to the challenges in interpreting
cases of Barrett’s esophagus, especially with dysplasia, tissue
samples from around the country are sent to the team for review and diagnosis.
Expert Care You Can Trust!
The Hoag Digestive Disease Center, in alliance with USC Norris Comprehensive Cancer Center, continues to
lead the way in complex gastroesophageal care, providing access to a highly
specialized surgical team that works collaboratively with Hoag-affiliated
gastroenterologists and medical oncology specialists to provide academic-level
care. Hoag’s committed to
accurate diagnosis, combined with
progressive therapeutic options enables Hoag patients to achieve some of the highest clinical outcomes
in the nation.
To schedule a comprehensive diagnostic evaluation, or a second-opinion
consultation with a Hoag gastroesophageal expert, visit
Meet the Team, or call us at: 877-775-0604.