Role of surveillance in intestinal metaplasia of the esophagus and gastroesophageal junction

Guido N. J. Tytgat, Johanna W. van Sandick, J. Jan B. van Lanschot, Huug Obertop

Research output: Contribution to journalArticleAcademicpeer-review


This article reviews current concepts of cancer surveillance in esophageal columnar metaplasia (Barren's esophagus) and intestinal metaplasia at the gastroesophageal junction. An overview is given of the available data on the prevalence of intestinal metaplasia in biopsies from the distal esophagus and from the gastroesophageal junction. Furthermore, special attention is given to the endoscopic detection of dysplasia and early malignancy. Finally, the costs of endoscopic surveillance and its effect on mortality rates from esophageal adenocarcinoma are discussed
Original languageEnglish
Pages (from-to)1021-1025
JournalWorld Journal of Surgery
Issue number9
Publication statusPublished - 2003

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