Barrett’s Esophagus: Emerging Knowledge and Management Strategies
Table 5
Guidelines for Barrett’s esophagus surveillance by major professional organizations in the United States.
Grade of dysplasia
ACG
AGA
ASGE¥
NDBE
2 EGD within 1st year, then every 3 years if still NDBE
2 EGD within 1st year, then every 3–5 years if still NDBE
2 EGD within 1st year, then every 3 years if still NDBE
LGD†
Repeat EGD within 6 months; if no higher-grade dysplasia, then every 1 year
Repeat EGD within 6 months; if no higher-grade dysplasia, then every 6–12 months
Repeat EGD in 6 months; if no higher-grade dysplasia, then every 1 year
HGD†£
Repeat EGD within 3 months to rule out EAC, then every 3 months
Repeat EGD within 3 months to rule out EAC, then every 3 months
Repeat EGD within 3 months to rule out EAC, then every 3 months
†Should be confirmed by an expert GI pathologist. £Detailed discussion should be initiated regarding therapeutic options. ¥Jumbo biopsy forceps should be used to increase yield. ACG: American College of Gastroenterology; AGA: American Gastroenterological Association; NDBE: nondysplastic Barrett’s esophagus; LGD: low-grade dysplasia; HGD: high-grade dysplasia.