ASGE guideline on screening and surveillance of Barrett’s esophagus

Qumseya, Bashar J.; Sultan, Shahnaz; Bain, Paul; Jamil, Laith H.; Jacobson, Brian C.; Anandasabapathy, Sharmila; Agrawal, Deepak; Buxbaum, James; Fishman, Douglas S.; Gurudu, Suryakanth R.; Jue, Terry L.; Kripalani, Sapna; Lee, Jeffrey K.; Khashab, Mouen A.; Naveed, Mariam; Thosani, Nirav; Yang, Julie; DeWitt, John M.; Wani, Sachin

doi:10.1016/j.gie.2019.05.012

Cited by 275 publications

(192 citation statements)

References 119 publications

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“…Shortsegment Barrett's is much more prevalent than long-segment Barrett's. Because Barrett's esophagus most commonly presents in Caucasian men over the age of 55, screening is primarily aimed at this population [5].…”

Section: Case Presentationmentioning

confidence: 99%

Does Smoking Cannabis Increase the Risk of Barrett’s Esophagus?

Levy¹,

Buhl²,

Fernandez³

et al. 2020

Cureus

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Section: Case Presentationmentioning

confidence: 99%

Does Smoking Cannabis Increase the Risk of Barrett’s Esophagus?

Levy¹,

Buhl²,

Fernandez³

et al. 2020

Cureus

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“…Major professional organisations such as American College of Gastroenterology (ACG), 20 American Gastroenterology Association (AGA), 11 American Society for Gastrointestinal Endoscopy (ASGE), 21 British Society of Gastroenterology (BSG) 22 and Société Française d'Endoscopie Digestive 23 currently do not recommend routine screening for detection of BE. ACG and AGA recommend an individualised approach for the patients involving discussion of potential risks, benefits and limitations of screening.…”

Section: Discussionmentioning

confidence: 99%

Wide-area transepithelial sampling in adjunct to forceps biopsy increases the absolute detection rates of Barrett’s oesophagus and oesophageal dysplasia: a meta-analysis and systematic review

Kumar

Harne

Patthipati

et al. 2020

BMJ Open Gastroenterol

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BackgroundWide-area transepithelial sampling (WATS) is a new technique that uses an abrasive brush to obtain samples from a larger surface area of the oesophagus. Studies have shown promising results that WATS in adjunct to forceps biopsy (FB) increases the detection rate of Barrett’s oesophagus (BE) as well as oesophageal dysplasia (ED). We conducted a systematic review and meta-analysis to compare the detection rates of BE and ED between FB and WATS in adjunct to FB.MethodsA Literature search was done using electronic databases, including PubMed, Embase, Scopus, Cochrane and CINAHL from inception to 26 April 2020. A meta-analysis comparing detection rates of WATS in adjunct to FB versus FB using the random-effects model was done using RevMan V.5.3.ResultsPooled data from 20 392 endoscopies across 11 studies showed an absolute increase in detection of 16% (95% CI 0.10% to 0.22%, p<0.00001). A relative increase of 1.62 was seen in detection rates of BE (95% CI 1.28 to 2.05, p<0.0001) when WATS was used with FB with the number needed to test (NNT) of 6.1 patients. For ED, a 2% absolute increase (95% CI 0.01 to 0.03, p=0.001) in additional diagnostic yield from WATS. A relative increase of 2.05 was seen in the detection rate of ED (95% CI 1.42 to 2.98, p=0.0001) yielding an NNT of 50 patients.ConclusionOur study shows that WATS, as an adjunct to FB, improves both the absolute detection rate and relative detection rate of both BE and ED as compared to FB alone.

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“…8 However, guidelines also attempt to strike a balance between ablation and annual surveillance and suggest consideration of "shared decision making" and identification of "high risk" LGD who may be at higher risk of progressing, such as those with "persistent" disease (reconfirmed at subsequent endoscopy), multifocal disease (present at multiple levels in the BE segment), nodularity, and LGD confirmed by multiple pathologists. 2,9,10 This has led to variation in guidelines from different societies.…”

Section: Q1mentioning

confidence: 99%