Question

A 45-year-old man with a 10-year history of gastroesophageal reflux disease (GERD) has progressive dysphagia. Endoscopy shows Barrett's oesophagus with high-grade dysplasia. According to NICE, what is the most appropriate management step?

Accepted Answer

Endoscopic mucosal resection or ablation therapy

Answer

Annual surveillance endoscopy only

Answer

High-dose proton pump inhibitors alone

Answer

H2 receptor antagonist therapy

Answer

Immediate oesophagectomy

Practice question

A 45-year-old man with a 10-year history of gastroesophageal reflux disease (GERD) has progressive dysphagia. Endoscopy shows Barrett's oesophagus with high-grade dysplasia. According to NICE, what is the most appropriate management step?