Dysplasia | Documentation | Follow up endoscopy |
---|---|---|
Adapted from Sampliner RE. Updated guidelines for the diagnosis, surveillance, and therapy of Barret’s esophagus. Am J Gastroenterol 2002;97:1888–95. | ||
None | 2 endoscopies with biopsy | 3 years |
Low grade | Highest grade on repeat | 1 year until no dysplasia |
High grade | Repeat endoscopy with biopsy to exclude cancer and document high-grade dysplasia Confirm with expert pathologist | Focal—every 3 months Multifocal—intervention Mucosal irregularity—endoscopic mucosal resection |