Table 5.
Recommended endoscopic surveillance intervals based on degree of dysplasia and segment length
Baseline endoscopic finding | Suggested endoscopic surveillance |
---|---|
| |
Nondysplastic BE of <3 cm length | EGD every 5 yr |
Nondysplastic BE of ≥3 cm length | EGD every 3 yr |
BE indefinite for dysplasia, any length (confirmed by a second pathologist) | Repeat EGD within 6 mo after increasing PPI
to twice-daily dosing, if not already on high-dose PPI If repeat EGD yields diagnosis of NDBE or LGD, treat using that algorithm If repeat EGD demonstrates BE indefinite for dysplasia, EGD annually |
BE with LGD (confirmed by a second pathologist and opting for endoscopic surveillance) | EGD at 6 mo from diagnosis EGD 12 mo from diagnosis EGD annually thereafter |
BE, Barrett’s esophagus; EGD, esophagogastroduodenoscopy; LGD, low-grade dysplasia; NDBE, nondysplastic BE; PPI, proton pump inhibitor.