Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition

Joseph Leung, MD; Simon Lo, MD

Question 5: What Is The Current Recommendation For Endoscopic Surveillance Of Barrett’S Esophagus, And How Can We Improve The Results With The Current Technologies? (continued)

Fauze Maluf-Filho, , MD, PhD, FASGE; Paulo Sakai, MD, PhD, FASGE

Several observational studies have suggested that patients with Barrett’s esophagus (BE), in whom adenocarcinoma was detected in a surveillance program, have lesions at an earlier stage. The 5-year survival rate has been improved, compared with patients who have not undergone routine endoscopic surveillance.1 Therefore, current practice guidelines recommend endoscopic surveillance of patients with BE in an attempt to detect cancer at an early and potentially curable stage. A cellular atypia confined to the epithelium is called dysplasia and is considered a histological marker for…