Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 27: Should Patients Be Screened For Barrett’S? Are There Patients Who Need Not Be Screened? (continued)

The current working definition for Barrett’s esophagus as defined by the American College of Gastroenterology (ACG) guidelines is a change in the esophageal epithelium of any length that can be recognized during endoscopy and is confirmed by biopsy to have intestinal metaplasia. The working definition excludes intestinal metaplasia of the cardia as part of the definition of Barrett’s esophagus. The current definition seeks to eliminate the concept of long or short segment Barrett’s. Whether patients with GERD should be screened for Barrett’s esophagus is debated…