ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | May 2023-ASGE Guideline on Screening and Surveillance of Barrett’s Esophagus

ASGE Guideline on Screening and Surveillance of Barrett’s Esophagus

Pdf Summary

The ASGE guideline recommends surveillance endoscopy for patients with non-dysplastic Barrett's esophagus but emphasizes the need for more research on the effectiveness of screening. Advanced imaging and sampling techniques like chromoendoscopy are recommended, but confocal laser endomicroscopy is not routinely recommended. The use of alternative tests for screening Barrett's esophagus is still evolving. In surveillance for dysplasia, chromoendoscopy or virtual chromoendoscopy should be used in addition to white light endoscopy. Endoscopic ultrasound is not recommended for differentiating mucosal versus submucosal disease. Wide-area transepithelial sampling and volumetric laser endomicroscopy have limited evidence. A study showed higher dysplasia detection rate with volumetric laser endomicroscopy compared to Seattle protocol in both pre and post-treatment surveillance, but further research is needed for cost-effectiveness and patient preferences.

Meta Tag

Disease Esophageal Adenocarcinoma

Disease Dysplasia

Disease Intestinal Metaplasia

Organ & Anatomy Esophagus

Procedure EGD With Biopsy

Procedure Surveillance Endoscopy

Keywords

ASGE guideline

surveillance endoscopy

Barrett's esophagus

chromoendoscopy

virtual chromoendoscopy

dysplasia surveillance

endoscopic ultrasound

volumetric laser endomicroscopy

Seattle protocol

cost-effectiveness