Department of Population Health Sciences, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Am J Gastroenterol. 2021 Aug 1;116(8):1730-1733. doi: 10.14309/ajg.0000000000001323.
Regular endoscopic surveillance is the gold standard Barrett's esophagus (BE) surveillance, yet harms of surveillance for some patients may outweigh the benefits. We sought to characterize physicians' BE surveillance cessation recommendations.
We surveyed gastroenterologists about their BE surveillance recommendations varying patient age, comorbidity, and BE length.
Clinicians varied in recommendations for repeat surveillance. Patient age showed the largest variation among decisions, whereas BE length varied the least.
Age and comorbidities seem to influence BE surveillance cessation decisions, but with variation. Clear cessation guidelines balancing the risks and benefits for BE surveillance are warranted.
定期进行内镜监测是 Barrett 食管(BE)监测的金标准,但对某些患者而言,监测的危害可能超过其益处。我们旨在描述医生对 BE 监测的停止建议。
我们调查了胃肠病学家对不同患者年龄、合并症和 BE 长度的 BE 监测建议。
临床医生对重复监测的建议存在差异。患者年龄在决策中变化最大,而 BE 长度变化最小。
年龄和合并症似乎会影响 BE 监测的停止决策,但存在差异。明确的停止监测指南,平衡 BE 监测的风险和益处是必要的。