Endoscopic surveillance of Barrett\u2019s esophagus (BE) is recommended to reduce mortality and morbidity related to esophageal adenocarcinoma. A thorough endoscopic inspection of a BE segment and obtaining Seattle protocol biopsies take significantly longer procedural time, and this likely explains the low adherence to guidelines and poor quality of endoscopic surveillance. However, guidelines do not specify the optimal inspection time for BE surveillance (BIT).<\/p>\n\n\n\n
The study investigated the duration of endoscopic surveillance procedures for BE and its effect on the dysplasia detection rate. The study was a post hoc analysis of a crossover, randomized, controlled trial with 142 patients with BE \u2265C2 and\/or \u2265M3 and no visible dysplastic lesions. <\/p>\n\n\n\n
The median procedure time was 16.5 minutes, and the duration of the procedure increased by 0.9 minutes for each additional 1 cm of BE length. The study found that a longer procedure time was associated with an increased likelihood of dysplasia detection and that Seattle protocol biopsies were more sensitive than targeted biopsies for detecting dysplasia. A longer BIT was associated with an increased likelihood of dysplasia detection on biopsies (odds ratio, 1.10; 95% confidence interval, 1.00-1.20; P<\/em>=.04).<\/p>\n","protected":false},"excerpt":{"rendered":" Endoscopic surveillance of Barrett\u2019s esophagus (BE) is recommended to reduce mortality and morbidity related to esophageal adenocarcinoma. A thorough endoscopic inspection of a BE segment and obtaining Seattle protocol biopsies take significantly longer procedural time, and this likely explains the low adherence to guidelines and poor quality of endoscopic surveillance. However, guidelines do not specify … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1791],"tags":[1944,1929,3636,2090,2098],"class_list":["post-13876","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-esophagus","tag-barretts-esophagus-2","tag-be","tag-bit","tag-endoscopy","tag-esophagus-2"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/13876","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=13876"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=13876"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=13876"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}