Metaplasia only in half of Barrett's That progressed to cancer. (Negative Initial Dysplasia not Adequate).
Publication: Internal Medicine News
Publication Date: 15-FEB-02
Author: Brunk, Doug
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LAS VEGAS - In a large Cohort of patients with Barrett's esophagus, about half of those who developed high-grade dysplasia or cancer had two initial and consecutive endoscopies that revealed intestinal metaplasia but no dysplasia.
Factors other than negative initial dysplasia should be evaluated to risk-stratify patients, Dr. Prateek Sharma said at the annual meeting of the American College of Gastroenterology.
"This incidence of adenocarcinoma in Barrett's esophagus has enormous impact on screening...
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