Role of endoscopic cancer surveillance in achalasia

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.

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