How do you approach surveillance and repeat biopsies in a patient with a diagnosis of intestinal metaplasia (aka Barrett's esophagus) on pathology who appears to have a regular Z-line or <1 cm of salmon mucosa?

(Especially in cases where you did not do the index endoscopy)

Answer from: at Community Practice

My first step would be to review the pathology with an expert pathologist.

Comments

at Sovah Physician Practices
I do not biopsy <1 cm of Barrett’s appear...

Answer from: at Academic Institution

If the salmon colored mucosa is < 1 cm in length, it is endoscopically not consistent with Barrett's esophagus. Junctional intestinal metaplasia does not have an increased risk of adenocarcinoma. I would review the biopsies with an expert pathologist to confirm there is no evidence of dysplasia. ...

Comments

at Gastro Health
I believe that one should not biopsy a regular z-l...

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How do you approach surveillance and repeat biopsies in a patient with a diagnosis of intestinal metaplasia (aka Barrett's esophagus) on pathology who appears to have a regular Z-line or <1 cm of salmon mucosa?

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