Video Tip: Surveillance Intervals in Patients with Known Barrett's | April 2021-Video Tip

Video Transcription

Video Summary

In this video, Dr. Sachin Mani, a gastroenterologist at the University of Colorado, discusses surveillance intervals in patients with Barrett's esophagus for Esophageal Cancer Awareness Month. He emphasizes the rising incidence of esophageal cancer and the importance of screening individuals at risk for Barrett's esophagus and esophageal adenocarcinoma. The progression of Barrett's esophagus to cancer occurs in stages, from nondysplastic Barrett's esophagus to high-grade dysplasia to invasive esophageal adenocarcinoma. The best biomarker for predicting progression is the degree of dysplasia. Current guidelines recommend surveillance endoscopies every three to five years, with variations based on the length of the Barrett's segment. However, there is a need for better risk stratification and improved utilization of endoscopy.

Keywords

surveillance intervals

Barrett's esophagus

esophageal cancer

screening

dysplasia