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.