How is LGD managed in patients with Barrett Esophagus?
- LGD must be confirmed on a repeat EGD within 6 months, and an expert GI pathologist is also required to review the biopsy samples before the initiation of annual endoscopic surveillance.
- Surveillance endoscopy continues until there is no dysplasia on two consecutive endoscopic examinations.
- Some experts assert that aggressive ablation of LGD is an option and patients can be reassured that 60% of patients with LGD will regress to no dysplasia after a mean follow-up of 4 years.
