Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 30: Should Endoscopic Surveillance Be Performed In A Patient With Barrett’S? If So, How? (continued)

There is little argument among clinicians that patients with Barrett’s esophagus should be put in a surveillance program. Surveillance strategies are designed to detect premalignant or early malignant lesions so that death from cancer can be prevented. Though the incidence of esophageal adenocarcinoma is low, 0.3% to 0.5% per patient year, the lifetime incidence in a given patient may be as high as 10% to 11%, suggesting that surveillance might be beneficial. Despite these data and the logic that early detection of high-grade dysplasia or intramucosal cancer would result in prolonged…