Barrett's surveillance for no dysplasia uses what surveillance interval?

Barrett's surveillance for no dysplasia uses what surveillance interval?

• A. CT scan yearly
• B. Endoscopy every 3 years
• C. Colonoscopy every 5 years
• D. No surveillance

Answer: (B)

For Barrett’s esophagus without dysplasia, the goal of surveillance is to detect any progression to dysplasia or cancer early through endoscopic evaluation with biopsies. The standard interval used in practice and on exams for nondysplastic Barrett’s is about every 3 years. This cadence balances the risk of progression with the invasiveness and cost of procedures, keeping an eye on the development of any low- or high-grade dysplasia that would require more frequent monitoring or intervention. Other options don’t fit this scenario: a yearly CT scan isn’t used to monitor Barrett’s mucosa, colonoscopy isn’t the surveillance tool for the esophagus, and opting for no surveillance would miss potential progression.

For Barrett’s esophagus without dysplasia, the goal of surveillance is to detect any progression to dysplasia or cancer early through endoscopic evaluation with biopsies. The standard interval used in practice and on exams for nondysplastic Barrett’s is about every 3 years. This cadence balances the risk of progression with the invasiveness and cost of procedures, keeping an eye on the development of any low- or high-grade dysplasia that would require more frequent monitoring or intervention.

Other options don’t fit this scenario: a yearly CT scan isn’t used to monitor Barrett’s mucosa, colonoscopy isn’t the surveillance tool for the esophagus, and opting for no surveillance would miss potential progression.