January 2008 Survey Barrett's HGD
 
For purposes of this survey, assume that you are referred a healthy middle aged patient who has been diagnosed with Barrett's esophagus. The patient has undergone endoscopy by a gastroenterologist showing no evidence of cancer, and reflux symptoms are well controlled on acid suppression therapy.
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1. Do you manage patients with Barrett's esophagus?

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2. Do you believe that fundoplication surgery can help prevent the development of high grade dysplasia in Barrett's mucosa?

3. Should patients with Barrett's esophagus undergo surveillance endoscopy periodically?

4. When high grade dysplasia is identified in Barrett's mucosa, what is the likelihood that a patient will have invasive adenocarcinoma at that point in time?

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5. If Barrett's high grade dysplasia is identified, check all tests or procedures you normally use for further evaluation at the time of diagnosis:

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6. If Barrett's high grade dysplasia is confirmed and the patient is healthy, what do you most often recommend for initial management?

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7. In what region is your surgical practice based?