Treatment and FollowUp

► Barrett epithelium without dysplasia:

- Yearly endoscopic follow-up with specimen collection

► Barrett epithelium with low-grade dysplasia:

- 18-month follow-up

► Barrett epithelium with high-grade dysplasia:

- Histological surveillance, then esophageal resection

► Alternatives:

- Endoscopic treatment: thermal, photodynamic, mechanical

b Areas with intestinal metaplasia are stained blue

b Areas with intestinal metaplasia are stained blue

c Barrett epithelium

Intense blue staining at the right edge > of the epithelial tongue: intestinal metaplasia

Intense blue staining at the right edge > of the epithelial tongue: intestinal metaplasia

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