The surveillance guidelines for patients with Barrett’s esophagus are well stablished. However, one major challenge is adherence to these guidelines.
There are many variables involved in an adequate surveillance and they may lead to what would be considered a sub-optimal approach. Despite finding a low level of adherence, the number of cases with advanced adenocarcinoma was not very high in a long follow-up period. Investigation of new risk stratification methods should help detecting the patients at higher risks for disease progression to better guide surveillance.
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