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.
