Table 2. Guideline Recommendations for imaging in BE.
| Society | Recommendation for Imaging in BE |
|---|---|
| ASGE 2019 (35) | In patients with BE undergoing surveillance, we recommend using chromoendoscopy, including virtual chromoendoscopy and Seattle protocol biopsy sampling, compared with white-light endoscopy with Seattle protocol biopsy sampling (strong recommendation, moderate level of evidence) |
| In patients with BE undergoing surveillance, we suggest against routine use of confocal laser endomicroscopy compared with white-light endoscopy with Seattle protocol biopsy sampling (conditional recommendation, low quality of evidence) | |
| ESGE 2017 (50) | High definition endoscopy (endoscope, processor, and screen) is recommended for endoscopic surveillance of BE. Routine use of chromoendoscopy, optical chromoendoscopy, autofluorescence endoscopy, or confocal laser endomicroscopy is not advised |
| ACG 2016 (51) | Surveillance should be performed with high definition/high-resolution white light endoscopy (strong recommendation, low level of evidence). |
| Routine use of advanced imaging techniques other than electronic chromoendoscopy is not recommended for endoscopic surveillance at this time (conditional recommendation, very low level of evidence). | |
| AGA 2011 (25) | We recommend endoscopic evaluation be performed using white light endoscopy (strong recommendation, moderate-quality evidence) |
| We suggest against requiring chromoendoscopy or advanced imaging techniques for the routine surveillance of patients with Barrett’s esophagus at this time (weak recommendation, low-quality evidence). (These technologies may be helpful in guiding the performance of biopsies in patients who are known to have dysplasia and in patients who have mucosal irregularities detected by white light endoscopy) | |
| BSG 2014 (24) | High-resolution endoscopy should be used in Barrett’s oesophagus surveillance (grade C recommendation) |
| Advanced imaging modalities, such as chromoendoscopy or ‘virtual chromoendoscopy’, are not superior to standard white light endoscopy in Barrett’s oesophagus surveillance and are therefore not recommended for routine use (grade A recommendation) | |
| Expert high-resolution endoscopy (HRE) should be carried out in all Barrett’s patients with biopsy detected HGD in order to detect visible abnormalities suitable for ER (grade B recommendation) |
BE, Barrett’s esophagus; ASGE, American Society for Gastrointestinal Endoscopy; ESGE, European Society of Gastrointestinal Endoscopy; ACG, American College of Gastroenterology; AGA, American Gastroenterological Association; BSG, British Society of Gastroenterology; ER, endoscopic resection.