Recommendation 1: In individuals with Barrett’s esophagus with high grade dysplasia, the AGA recommends endoscopic eradication therapy over surveillance. (strong recommendation, moderate certainty of evidence) Implementation Consideration: Following completion of EET, surveillance should be performed at 3, 6, and 12 months, then annually. Surveillance endoscopies following EET should obtain targeted tissue sampling of visible lesions and random biopsies of the cardia and distal 2cm of the tubular esophagus.