Question

A 66-year-old man with long-standing GERD undergoes endoscopy that reveals salmon-colored mucosa extending 3 cm above the gastroesophageal junction. Biopsies show intestinal metaplasia without dysplasia. What is the most appropriate management?

Accepted Answer

High-dose PPI and surveillance endoscopy at guideline intervals

Answer

Esophagectomy

Answer

Endoscopic ablation therapy

Answer

No treatment or follow-up needed

Answer

Immediate chemoradiation

Practice question

A 66-year-old man with long-standing GERD undergoes endoscopy that reveals salmon-colored mucosa extending 3 cm above the gastroesophageal junction. Biopsies show intestinal metaplasia without dysplasia. What is the most appropriate management?