What is the recommended follow-up for Barrett's esophagus that is over 3 cm and circumferential?

The recommended follow-up for Barrett's esophagus that is over 3 cm and circumferential is yearly surveillance. This guideline is based on the increased risk of progression to esophageal cancer associated with extensive and long-segment Barrett's esophagus.

Barrett's esophagus is a condition where the esophageal lining undergoes changes due to chronic gastroesophageal reflux disease (GERD). The longer and more extensive the Barrett's segment, particularly when the length exceeds 3 cm and is circumferential, the greater the risk of dysplasia and subsequent adenocarcinoma.

Annual surveillance endoscopy allows for timely detection of dysplastic changes or early cancer, which can greatly influence the management and treatment options available to the patient. Regular follow-up with yearly endoscopies enables the practitioners to monitor for any progression of the disease more closely compared to less frequent intervals, thereby improving patient outcomes through proactive management.