Role of endoscopic cancer surveillance in patients with achalasia
- Currently, there is insufficient data to support routine endoscopic surveillance in patients with achalasia.
- Endoscopic surveillance in patients with achalasia has not been found to be cost effective but may be considered 15 years after the onset of symptoms.
- All surface abnormalities of esophagus identified during the examination should undergo biopsy, and the recommended timing of any surveillance endoscopy has not been defined.