| Endoscopic surveillance practice for Barrett' s oesophagus in Scotland and early experience in implementing local guidelines. | |
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MedLine Citation:
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PMID: 12774594 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Management of columnar lined oesophagus (CLO; Barrett s oesophagus) is controversial. We prospectively audited surveillance practices in Scotland and prospectively assessed the impact of introducing local guidelines for Barrett s surveillance in Edinburgh. Most respondents were gastroenterologists. The majority take random, not four quadrant, biopsies from the CLO. In Edinburgh during 2000, 80 patients underwent surveillance. The guideline protocol was not followed in 30 (37.5%) patients. Follow up of patients without dysplasia generally conformed to the guidelines. Follow up of patients with low grade dysplasia was highly variable while management of those with high grade dysplasia followed the guidelines. Overall we found a wide variability in the management and surveillance of CLO. Early experience suggests that implementation of guidelines is helpful but there is still variation in practice. |
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Authors:
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E F Shen; S Gladstone; G Milne; S Paterson-Brown; I D Penman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Scottish medical journal Volume: 48 ISSN: 0036-9330 ISO Abbreviation: Scott Med J Publication Date: 2003 May |
Date Detail:
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Created Date: 2003-05-30 Completed Date: 2003-09-08 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 2983335R Medline TA: Scott Med J Country: Scotland |
Other Details:
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Languages: eng Pagination: 43-5 Citation Subset: IM |
Affiliation:
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Gastrointestinal Unit, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Barrett Esophagus
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diagnosis* Endoscopy, Digestive System Guidelines as Topic Humans Medical Audit Physician's Practice Patterns* Practice Guidelines as Topic Scotland |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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