The role of endoscopy in Barrett's esophagus and other premalignant conditions of the esophagus

Adherence to Surveillance Guidelines in Nondysplastic Barrett’s Esophagus

“…We assumed that surveillance practices during the follow-up period most likely reflected these guidelines, and that these practices had not yet been significantly impacted by updates to the guidelines in 2011 and 2012, which increased acceptable intervals to 3-5 years. [8,9] Surveillance at our center was largely performed using a recall database, where patients 6 were contacted based on an endoscopist's recommendation at the time of a sEGD and pathology review; these recommendations were unlikely to have been modified by updates to the guidelines.…”

“…In part because of recent data indicating a lower-than-expected risk of adenocarcinoma arising from Barrett's epithelium [7], more recent guidelines have extended the surveillance interval to 3-5 years. [8,9] While most endoscopists practice endoscopic surveillance for NDBE [10], there is considerable variation in surveillance patterns and adherence to guideline recommendations [10][11][12][13][14][15][16]. Particularly in community practice, adherence to surveillance guidelines is low.…”

“…In addition, while it is unlikely that the ASGE 2012 guidelines [9] had a significant impact on surveillance practices during the study period, we applied these guidelines in conjunction with the primary criteria to any surveillance interval that potentially could have been modified to reflect the updated guideline recommendations; under these conditions adherence was 46.4%.…”

Oesophageal Squamous Dysplasia

“…Evidence does exist for the surveillance of patients post caustic ingestion, with endoscopy starting at approximately 15 years after the insult. Following the initial endoscopy, surveillance intervals of 1-3 years have been recommended [1,22]. Tylosis, a rare genetic condition predisposing to hyperkeratosis and oesophageal cancer, has also been advocated for surveillance every 1-3 years, beginning from the age of 30 onwards [1].…”

Endoscopic diagnosis and therapies for Barrett esophagus: a review

“…Guidelines proposed by the principal societies provide different intervals for surveillance depending on the grade of dysplasia detected on pathology specimens (17)(18)(19)(20) (Table I).…”