What form of surveillance do you recommend for esophageal adenocarcinoma s/p NACRT and resection at what frequency?

We pretty much follow the NCCN guidelines. H&P every 3 months x 2 years, every 4-6 months out to five years, and our thoracic surgeons tend to continue annual follow-up after that. CBC and chemistries at each visit. NCCN points out that the value of CEA is unknown, but we tend to check them. Imaging is the most controversial area, as it's hard to demonstrate cost-effectiveness for surveillance imaging. Our practice is a CT of the c/a/p every six months for two years, and then annually to five years. Our thoracic surgeons will continue annual chest CT scans after that. We do not get surveillance PET scans. We only do EGDs to evaluate symptoms, often for dilation of strictures, but not for routine surveillance.