Aim: To assess current approaches to treatment of Barret`s esophagus in patient`s with hiatal hernia Materials and Methods: English language search restriction was used. The PubMed, Scopus, Embase, Cochrane, and Google Scholar databases were searched using syntaxes consisting of keywords (“Barret`s esophagus” OR “Hiatal Hernia” OR “Esophageal Adenocarcinoma” OR “Esophagitis”). Conclusions: Barrett’s esophagus is a precancerous condition, prone to causing esophageal adenocarcinoma. Currently, approaches to treatment and monitoring in different European countries and worldwide vary for Barrett’s Esophagus. Nevertheless, most current guidelines favour endoscopic therapy as a first line of treatment of Barrett`s esophagus in patients with hiatal hernia