DOWNERS GROVE, Ill. -- September 4, 2019 -- The
American Society for Gastrointestinal Endoscopy (ASGE) has released its
updated “ASGE guideline on screening and surveillance of Barrett’s
esophagus,” published in the September issue of GIE: Gastrointestinal
The guideline aims to help clinicians
understand the published literature and quality of available data on
screening and surveillance in patients with Barrett’s esophagus; a
precancerous condition for esophageal adenocarcinoma. This document
addresses several key clinical issues in this field, including the role
and impact of screening and surveillance of Barrett’s esophagus. As
with other types of cancer, identifying this precancerous condition and
early changes of cancer provides the best chance of successful treatment
and, ultimately, improves patient outcomes.
endoscopic procedures and related technologies are used to screen and
monitor patients with known or suspected Barrett’s esophagus. If changes
are found in the cells lining the esophagus, various endoscopic
treatment approaches are available.
addresses the utility of advanced imaging and sampling modalities used
during screening and surveillance endoscopic procedures and includes
chromoendoscopy, confocal laser endomicroscopy, endoscopic ultrasound,
wide-area transepithelial sampling (WATS) and others. Table 4 contains a
summary of the recommendations.
The document complies
with the standards of guideline development set forth by the Institute
of Medicine for the creation of trustworthy guidelines and provides
recommendations based on the GRADE framework.
hopeful that this current information will help guide clinicians in
using the growing array of tools and technologies available to us to
diagnose and manage Barrett’s esophagus, which, in turn, has the
potential to significantly impact patient outcomes,” said Sachin Wani,
MD, FASGE, Chair of the ASGE Standards of Practice Committee.
The full guideline is available at https://www.giejournal.org/article/S0016-5107(19)31704-3/fulltext .
related Technology Status Evaluation Report from ASGE, also in the
September issue of GIE, details the various screening modalities.
For more information about Barrett’s esophagus, visit ASGE.org.