PMID: 12774594May 31, 2003Paper

Endoscopic surveillance practice for Barrett' s oesophagus in Scotland and early experience in implementing local guidelines

Scottish Medical Journal
E F ShenI D Penman

Abstract

Management of columnar lined oesophagus (CLO; Barrett s oesophagus) is controversial. We prospectively audited surveillance practices in Scotland and prospectively assessed the impact of introducing local guidelines for Barrett s surveillance in Edinburgh. Most respondents were gastroenterologists. The majority take random, not four quadrant, biopsies from the CLO. In Edinburgh during 2000, 80 patients underwent surveillance. The guideline protocol was not followed in 30 (37.5%) patients. Follow up of patients without dysplasia generally conformed to the guidelines. Follow up of patients with low grade dysplasia was highly variable while management of those with high grade dysplasia followed the guidelines. Overall we found a wide variability in the management and surveillance of CLO. Early experience suggests that implementation of guidelines is helpful but there is still variation in practice.

References

Feb 6, 1999·The American Journal of Gastroenterology·S Nandurkar, N J Talley
Feb 6, 1999·The American Journal of Gastroenterology·P BytzerN Seersholm
Apr 14, 1999·The American Journal of Gastroenterology·M A Eloubeidi, D Provenzale
Aug 13, 1999·The American Journal of Gastroenterology·D ProvenzaleJ B Wong
Aug 13, 1999·European Journal of Gastroenterology & Hepatology·C WolfA J Smout
Nov 26, 1999·Gastrointestinal Endoscopy·G M EisenS B Benjamin
May 3, 2000·The British Journal of Surgery·A Watson
Mar 31, 2001·The American Journal of Gastroenterology·J J OfmanW M Weinstein

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Citations

Dec 14, 2007·The American Journal of Gastroenterology·Joel H RubensteinPhilip Schoenfeld
Nov 22, 2011·Gastrointestinal Endoscopy·Seth D CrockettNicholas J Shaheen

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