journey13

The current strategy to try and catch it early is to attempt to detect the early dysplastic changes in the cells by performing endoscopy every 2 years.

2-years was derived from mathematical models as the optimum period to undertake gastroscopy. In some countries it is 3-years.

If low grade-dysplasia develops then the frequency of interval shortens to every 6-months, or sometimes shorter/longer dependent on your case.

If high grade-dysplasia develops then treatment is undertaken and I will cover this later.

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N.B. Since this talk was delivered, the guidelines have been amended and for those with short length metaplasia (<3 cm) the interval between scopes may be between 3 and 5 years.