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Rev Esp Enferm Dig ; 111(2): 164, 2019 Feb.
Article in English | MEDLINE | ID: mdl-30318897

ABSTRACT

Patients with Barrett's esophagus (BE) have a risk of esophageal cancer thirty times higher than the general population. The grade of dysplasia must be established during endoscopic follow-up. The effectiveness of endoscopic surveillance programs for the diagnosis of advanced esophageal adenocarcinoma has been questioned. Several techniques are available for the early identification of high-grade dysplasia and biopsy sampling in all four quadrants every 2 cm is the most common procedure. However, accurate protocol compliance is challenging for some conditions, including long BE, due to the excessive number of biopsies that may be required.


Subject(s)
Adenocarcinoma/pathology , Barrett Esophagus/pathology , Esophageal Neoplasms/pathology , Esophagus/pathology , Adenocarcinoma/surgery , Biopsy , Esophageal Neoplasms/surgery , Esophagus/surgery , Humans , Male , Middle Aged
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