French Society of Digestive Endoscopy SFED guideline: monitoring of patients with Barrett’s esophagus

Prevalence of Barrett Esophagus in Adolescents and Young Adults With Esophageal Atresia

“…6 All eligible patients received upper gastrointestinal endoscopy under general anesthesia with standardized esophageal staged biopsies. Following the French Society of Digestive Endoscopy guidelines, at least 12 biopsies were obtained as 4 quadrant biopsy specimens every 2 cm starting 1 cm from the Z-line, and 4 quadrant biopsy specimens at the anastomotic level 7 ; biopsies were also obtained for any macroscopic lesions (Fig. 1).…”

“…3 cm above the Z-line. 7 Microscopic esophagitis was identified by neutrophil/eosinophil infiltration, basal cell hyperplasia, elongation of papillae, dilation of intercellular spaces, and necrosis/erosion. 11 Mild esophagitis was defined as esophagitis without necrosis or erosion.…”

Diagnosis and Management of Barrett’s Esophagus with and Without Dysplasia

“…The decision regarding screening should be individualized after discussion about the benefits and limitations of screening with the patient. Other professional organizations also do not recommend routine screening for BE [13,15,105,106]. The American Society of Gastrointestinal Endoscopy (ASGE) guidelines proposed that an initial screening endoscopy is appropriate in select patients with frequent, chronic, longstanding GERD (>5 years), who are white, males, aged >50 years, and those with nocturnal heart burn.…”

Pourquoi traiter l’œsophage de Barrett au stade de dysplasie de bas grade en 2012 ?

“…En France [1], en Angleterre [2] et aux États-Unis [3,4], les recommandations proposaient classiquement, pour la dysplasie de bas grade (DBG) au cours de l'oesophage de Barrett (OB), une confirmation du diagnostic initial par une double lecture histologique, une confirmation précoce par de nouveaux prélèvements par biopsie-perfibroscopie, puis un suivi par surveillance renforcée à six mois et un an.…”