PMID: 12772005May 29, 2003Paper

A survey of Canadian gastroenterologists about the management of Barrett's esophagus

Canadian Journal of Gastroenterology = Journal Canadien De Gastroenterologie
Lisa MacNeil-CovinSander Veldhuyzen van Zanten

Abstract

The aims of the present study were to determine practice patterns of Canadian gastroenterologists for screening patients with Barrett's esophagus and to compare current practice patterns with published guidelines. A secondary goal was to evaluate whether gastroenterologists recommend a "once in a lifetime" endoscopy for patients with chronic gastroesophageal reflux disease. A structured questionnaire regarding screening for Barrett's esophagus was sent to members of the Canadian Association of Gastroenterology. The overall response rate was 51% (203 of 396). Of the 203 respondents, 165 (81%) performed endoscopies in adults and form the basis of this report. The majority of Canadian gastroenterologists followed published guidelines, with 62% screening patients without dysplasia every two years. Patients with low grade dysplasia were screened more frequently, with 54% of respondents performing endoscopy every six months, and 35% on a yearly basis. Biopsy protocols showed the greatest variation, with 46% of gastroenterologists taking four-quadrant biopsies at 2 cm intervals along the columnar-lined (Barrett's) esophagus. Seventy-six per cent of gastroenterologists agreed that all patients with chronic gastroesophageal reflux shoul...Continue Reading

Citations

Sep 11, 2007·Journal of Evaluation in Clinical Practice·Nassira AmamraThierry Ponchon
May 23, 2014·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·A MenezesG W Falk
Jan 25, 2018·Scandinavian Journal of Gastroenterology·Jes Sefland VogtPer Ejstrud
Apr 9, 2009·The American Journal of Gastroenterology·Philip M ShermanYvan Vandenplas
Nov 30, 2006·Nature Clinical Practice. Gastroenterology & Hepatology·John Dent
Dec 17, 2016·Journal of Clinical Gastroenterology·Kunal S DalalThomas F Imperiale
Aug 25, 2006·The American Journal of Gastroenterology·Nimish VakilUNKNOWN Global Consensus Group
Dec 14, 2007·The American Journal of Gastroenterology·Joel H RubensteinPhilip Schoenfeld
Nov 22, 2011·Gastrointestinal Endoscopy·Seth D CrockettNicholas J Shaheen
Jul 29, 2008·Best Practice & Research. Clinical Gastroenterology·David Armstrong
Jun 9, 2009·Surgical Oncology Clinics of North America·Nicholas J Shaheen, Lena B Palmer

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