328. NORMAN RUPERT BARRETT (1903 – 1979)

Abstract Norman Rupert Barrett (1903 – 1979) was an Adelaide born thoracic surgeon. Barrett is most well-known for his contribution to ‘Barrett’s Oesophagus’. He was born into the Barrett Brothers malt producing family. He left Australia at the age of 10 and travelled throughout Europe and arrived in England in the wake of World War I. Following the Great War, Barrett sat his surgical examinations. Ironically, while the 21st century boasts well rounded surgeons and safe working hours, Barrett was at one point chastised for leaving the hospital grounds for a short walk while on call. The origin of the term ‘Barrett’s Oesophagus’ may not be quite as you imagine. Barrett initially describes the oesophagus being lined with columnar epithelium but attributes this to a congenitally shortened oesophagus leading to part of the stomach entering the chest. Later on, it was described by Allison and Johnstone that this was, in fact, the oesophagus and proposed ulcers in this region better termed ‘Barrett’s ulcers’. Only several years later was this pathology accepted by Barrett. Now ‘Barret’s Oesophagus’ is well known to us as the term used to describe the adaptive metaplastic change of the squamous epithelium of the oesophagus to columnar epithelium from the stomach; it is the pathological waymark for endoscopists in the development of Oesophageal Cancer.