Surveillance for low-grade dysplastic Barrett's oesophagus: one size fits all?

摘要: This paper reviews the role of low-grade dys- plasia (LGD) as a marker progression in Barrett's oesophagus (BO). Albeit with its limits due to difficulty diagnosis and low agreement among pathologists, LGD remains most relevant single prognostic factor progression, and, when is confirmed by two or three chances high- grade dysplasia invasive adenocarcinoma are high 40 %. On other hand, BO patients who remain free at several follow-up examinations seem have very likelihood progression. The should be sur- veillance programs tailored depending on presence persistent absence LGD. Ablative therapy also considered for cases where persists series follow-ups.