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Monitoring (surveillance) if Barrett's oesophagus

Authoring team

Frequency of endoscopic surveillance

Offer high resolution white light endoscopic surveillance with Seattle protocol biopsies:

  • every 2 to 3 years to people with long-segment (3 cm or longer) Barrett's oesophagus
  • every 3 to 5 years to people with short-segment (less than 3 cm) Barrett's oesophagus with intestinal metaplasia

Assess a person's risk of cancer based on their age, sex, family history of oesophageal cancer and smoking history and tailor the frequency of endoscopic surveillance accordingly, within the intervals given above

Do not offer endoscopic surveillance to people with short-segment (less than 3 cm) Barrett's oesophagus without intestinal metaplasia provided the diagnosis has been confirmed at 2 endoscopies

Reference:


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