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February 21, 2007

Frequency of Surveillance for Barrett Esophagus

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2007;297(7):699-700. doi:10.1001/jama.297.7.699-a

To the Editor: I am surprised that the Clinical Crossroads Update by Dr Burns1 did not comment on the statement that surveillance upper endoscopy for Barrett esophagus has been performed “every year as that is the patient's preference.”1 Mrs W had undergone 4 annual endoscopic examinations for Barrett esophagus without detecting dysplasia. Such a practice is inconsistent with current specialty society guidelines.2,3 Endoscopy performed every 3 years would have been appropriate.

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