What are the recommended surveillance intervals for patients diagnosed with Barrett's oesophagus?

Recommended surveillance intervals for Barrett's oesophagus:

• For people with long-segment Barrett's oesophagus (3 cm or longer), offer high resolution white light endoscopic surveillance with Seattle protocol biopsies every 2 to 3 years.
• For people with short-segment Barrett's oesophagus (less than 3 cm) with intestinal metaplasia, offer surveillance every 3 to 5 years.
• Do not offer endoscopic surveillance to people with short-segment Barrett's oesophagus without intestinal metaplasia if the diagnosis has been confirmed at 2 endoscopies.
• Tailor the frequency of surveillance within these intervals based on individual risk factors such as age, sex, family history of oesophageal cancer, and smoking history.

These recommendations should be discussed with the patient, including the benefits and risks of surveillance, and the surveillance plan should be individualized accordingly.

References: NICE NG231