Wednesday, September 14, 2016

Barrett's esophagus surveillance

- No dysplasia - 2 EGD w/ biopsy within 1 year
   +If negative, f/u EGD in 3 yrs

- Low-grade dysplasia*
    +Biopsy in 6 months
    +Repeat EGD qyear until no dysplasia x 2

- High-grade dysplasia*
    +Repeat EGD with biopsy q3months + send to ER
    +Surveillance q3months with EGD




*Dx dysplasia should be confirmed with 1 additional pathologist, preferably an expert in esophageal histopathology

No comments: