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February 21, 2007

Frequency of Surveillance for Barrett Esophagus—Reply

Author Affiliations

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

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

In Reply: Dr Sack correctly notes that our patient preferred yearly endoscopy as surveillance for her gastroesophageal reflux disease and Barrett esophagus, and that her physician complied with her request. This is contrary to the recommendation of Dr Spechler in his original Clinical Crossroads publication.1 He felt her risk of developing esophageal cancer was small, no more than 0.5% per year, and that endoscopic surveillance at 3-year intervals should suffice. As Dr Sack notes, Dr Spechler's recommendation remains consistent with current specialty society guidelines.2