BARRETT’S SURVEILLANCE: IS A FULL GASTROSCOPY REQUIRED?

Aims To assess if a full gastroscopy would detect significant finding on repeated endoscopic examinations of patients undergoing Barrett’s surveillance or it could be sufficient to focus on Barrett’s examination with more dedicated time and examination techniques to the oesophageal pathology.

Methods we conducted retrospective analysis of 600 endoscopic procedures performed for Barrett’s surveillance in the period from 2015–2017. We collected demographic data, endoscopic and histopathological findings.

Results Patient’s comfort 86% were good while 11% were acceptable, 3% had poor or untolerated procedure.

In 93% of patients no dysplasia was found, low and indefinite grade of dysplasia was found in 4% of patients and 2% had high grade dysplasia. In 4% of cases, no biopsy was taken.

2.1% of procedures were incomplete. Majority of gastric and duodenal findings were normal or inflammatory with no neoplastic findings.

Tab. 1

Gastric	Normal 65%	Gastritis 19.5%	Polyps 11.6%	Other 05%
Duodenal	Normal 96%	Duodenitis 01%	Not examined 2%	Other 01%

Conclusions 2% of our patients had high grade dysplasia on surveillance. a full gastroscopy didn’t show any significant finding in the stomach or the duodenum.

Benefit of a full gastroscopy in the context of barrett’s surveillance should be explored by a doing a multicentre RCT.