Monday, October 4, 2010

Barrett's Esophagus - Surveillance

4 quadrant biopsies every 2 cm intervals - beginning 1 cm below GE jxn and extending 1 cm above squamocolumnar junction

In absence of dysplasia: 
- every 3 years

Low grade dysplasia: 
- every 6 months for 1st year, if no progression then every 1 yr

High grade dysplasia: 
- confirm by an independent, experienced pathologist.  Confirmation of diagnosis warrants agressive treatment
- endoscopic vs. surgical options

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