Copyright ©The Author(s) 2016.
World J Gastroenterol. Dec 21, 2016; 22(47): 10316-10324
Published online Dec 21, 2016. doi: 10.3748/wjg.v22.i47.10316
Table 1 Vienna classification of Barrett’s oesophagus
1Negative for dysplasia
2Indefinite for dysplasia
3Low-grade dysplasia
4aHigh-grade dysplasia (including carcinoma in situ)
4bIntra-mucosal carcinoma (including suspicious for invasive cancer)
5Submucosal invasion by adenocarcinoma
Table 2 Different international management guidelines for Barrett's oesophagus
No dysplasiaOGD every 3-5 yr for SSBO (< 3 cm), every 2-3 years FOR LSBO(> 3 cm)OGD every 5 yr for SSBO (< 3 cm), every 3 yr for LSBO (3-6 cm), every 2 yr for LSBO (> 6 cm)OGD every 3-5 yr2 OGDs in the first year and then every 3 yrNo surveillance but if required should be every 3-5 yr
Low-grade dysplasiaRepeat OGD at 6 mo, if LGD offer endoscopic therapyRepeat OGD if LGD perform OGD at 6 mo, 1 yr, then every yearOGD every 6-12 moRepeat OGD within 6 mo if no HGD then OGD every yearRepeat OGD within 6 mo if no HGD then OGD every year
High-grade dysplasiaOffer endoscopic therapyRepeat OGD if HGD offer endoscopic/surgical therapyOGD every 3 mo in the absence of endoscopic therapyRepeat OGD within 3 mo, then every 3 mo or considerRepeat OGD within 3 mo or endoscopic therapy
Endoscopic therapy