Table 1

 American College of Gastroenterology Guideline for Barrett’s Oesophagus Surveillance Intervals

DysplasiaDocumentationFollow 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.
None2 endoscopies with biopsy3 years
Low gradeHighest grade on repeat1 year until no dysplasia
High gradeRepeat endoscopy with biopsy to exclude cancer and document high-grade dysplasia Confirm with expert pathologistFocal—every 3 months Multifocal—intervention Mucosal irregularity—endoscopic mucosal resection