Length of Barrett ’s esophagus in the presence of low-grade dysplasia, high-grade dysplasia, and adenocarcinoma

ConclusionAlmost 20% of all dysplasia in BE occurs in BE  <  1 cm. Over 40% occurs in BE <  3 cm. Similarly, 20% of EAC occurs within 1 cm of GEJ and 40% occur within 3 cm. A majority of dysplasia diagnosed within 3 cm of the GEJ is found on index endoscopy. We propose that all lengths of columnar lined epithelium above the GEJ are recognized as BE and subjected to a thorough biopsy protocol.
Source: Surgical Endoscopy - Category: Surgery Source Type: research