Only Heartburn...Or Is It? Increasing Awareness and Treatment of Barrett's Esophagus

2.50
Hdl Handle:
http://hdl.handle.net/10755/164991
Category:
Abstract
Type:
Presentation
Title:
Only Heartburn...Or Is It? Increasing Awareness and Treatment of Barrett's Esophagus
Author(s):
Inzeo, Dana; Deraney, Jennifer
Author Details:
Dana Inzeo, RN, APRN, AOCN, Nurse Practitioner, The Valley Hospital, Paramus, New Jersey, USA, email: johndana@optonline.net; Jennifer Deraney, RN, BSN
Abstract:
Education: Approximately 20 million adults in the U.S. have gastroesophageal reflux disease (GERD). Over two million people have Barrett's Esophagus (BE); a serious complication of GERD and risk factor for esophageal cancer. Approximately 15,500 people will be diagnosed with esophageal cancer in 2009 resulting in almost 14,000 deaths. There are national guidelines for endoscopic surveillance for patients with BE, however, there remains inconsistency in patient education and management. The Valley Hospital in New Jersey opened the Center for Barrett's Esophagus and GERD two years ago. The goal is to educate the community and encourage those with these conditions to receive medical evaluation and comprehensive care. Patient's with BE are offered treatment with the latest technologies including radiofrequency ablation (RFA) and surveillance according to national guidelines. An IRB approved protocol ensures standardized patient care and guides data collection for outcome and genomic analysis. An oncology nurse practitioner (NP) serves as the coordinator of the center. The NP triages calls, provides patient/community education, makes referrals, schedules treatment, manages pre/ post procedure care, and follow-up. The NP meets with every protocol enrollee to discuss diagnosis, treatment, and post treatment instructions. Patients are provided with educational materials developed by the NP. The NP is the liaison between patients, physicians, and treatment center staff. The NP is instrumental in determining outcomes for callers to the center. There have been over 300 calls to the center. Of these, over 100 patients have been referred to a gastroenterologist and/or a thoracic surgeon for discussion of acid reflux treatment. 57 patients have enrolled onto protocol, with 30 undergoing BE treatment of which 15 are disease free. 11 patients underwent anti-reflux surgeries. 6 patients were diagnosed with esophageal cancer and treated promptly. Several out of state patients contacted the center and were referred for treatment by a physician in their area. Increasing awareness and understanding of BE results in the proper and timely treatment of this pre-malignant disease. This is important in the prevention and early detection of esophageal cancer. The NP has the important role of educating the public, as well as those with BE about making good treatment decisions.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleOnly Heartburn...Or Is It? Increasing Awareness and Treatment of Barrett's Esophagusen_GB
dc.contributor.authorInzeo, Danaen_US
dc.contributor.authorDeraney, Jenniferen_US
dc.author.detailsDana Inzeo, RN, APRN, AOCN, Nurse Practitioner, The Valley Hospital, Paramus, New Jersey, USA, email: johndana@optonline.net; Jennifer Deraney, RN, BSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164991-
dc.description.abstractEducation: Approximately 20 million adults in the U.S. have gastroesophageal reflux disease (GERD). Over two million people have Barrett's Esophagus (BE); a serious complication of GERD and risk factor for esophageal cancer. Approximately 15,500 people will be diagnosed with esophageal cancer in 2009 resulting in almost 14,000 deaths. There are national guidelines for endoscopic surveillance for patients with BE, however, there remains inconsistency in patient education and management. The Valley Hospital in New Jersey opened the Center for Barrett's Esophagus and GERD two years ago. The goal is to educate the community and encourage those with these conditions to receive medical evaluation and comprehensive care. Patient's with BE are offered treatment with the latest technologies including radiofrequency ablation (RFA) and surveillance according to national guidelines. An IRB approved protocol ensures standardized patient care and guides data collection for outcome and genomic analysis. An oncology nurse practitioner (NP) serves as the coordinator of the center. The NP triages calls, provides patient/community education, makes referrals, schedules treatment, manages pre/ post procedure care, and follow-up. The NP meets with every protocol enrollee to discuss diagnosis, treatment, and post treatment instructions. Patients are provided with educational materials developed by the NP. The NP is the liaison between patients, physicians, and treatment center staff. The NP is instrumental in determining outcomes for callers to the center. There have been over 300 calls to the center. Of these, over 100 patients have been referred to a gastroenterologist and/or a thoracic surgeon for discussion of acid reflux treatment. 57 patients have enrolled onto protocol, with 30 undergoing BE treatment of which 15 are disease free. 11 patients underwent anti-reflux surgeries. 6 patients were diagnosed with esophageal cancer and treated promptly. Several out of state patients contacted the center and were referred for treatment by a physician in their area. Increasing awareness and understanding of BE results in the proper and timely treatment of this pre-malignant disease. This is important in the prevention and early detection of esophageal cancer. The NP has the important role of educating the public, as well as those with BE about making good treatment decisions.en_GB
dc.date.available2011-10-27T12:10:36Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:10:36Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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