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endoscopy and biopsy - nimishkum
#1
found
1 barret
2 low grade dysplasia
3 high grade dysplasia
how do u follo up
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#2
Screening (based on criteria from the American Society of Gastrointestinal Endoscopy) is as follows:
After initial diagnosis, repeat EGD in one year for surveillance with biopsies.
Proceed according to EGD findings:
No dysplasia: Repeat survillence EGD and biopsy every 1 “ 3 years.
Low-grade dysplasia: Repeat EGD within six months. If findings are unchanged, extend surveillance to
yearly intervals.
High-grade dysplasia: Management is controversial but includes early esophagectomy or intensive
endoscopic surveillance every three months until cancer is diagnosed, followed by esophagectomy.
Verify with an expert pathologist. Ablative therapies may be attempted (e.g., photodynamic therapy,
argon plasma coagulation, endoscopic mucosal resection).
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#3
1 ppi and f/up in with endoscopy with biosy in 3 5 year
2 endoscopy every year
3 surgery

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#4
1 repeat endoscopy 2-3yrs
2same in 3-6months
3no follow up do distal esophagectomy
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#5
1 = follow up 3-5 yr

2 repeat yrly
3 surgery or 3 mth follow up
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#6
follow up means endo
sorry
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