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During follow-up to-date, four patients have developed high-grade dysplasia and three have adenocarcinoma of the oesophagus. Two of the adenocarcinomas were preceded by progressively severe dysplastic changes but in the third no dysplasia had been previously detected. The incidence of adenocarcinoma was 1 per 56 patient-years of follow-up. Changes in symptomatology or gross endoscopic appearances were usually absent, even after adenocarcinoma had developed, indicating that biopsy is essential for early diagnosis. The high risk of malignant change makes endoscopic surveillance advisable in all patients with Barrett's oesophagus.<\/jats:p>","DOI":"10.1002\/bjs.1800750813","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T11:55:02Z","timestamp":1172922902000},"page":"760-763","source":"Crossref","is-referenced-by-count":223,"title":["Value of endoscopic surveillance in the detection of neoplastic change in Barrett's oesophagus"],"prefix":"10.1093","volume":"75","author":[{"given":"C S","family":"Robertson","sequence":"first","affiliation":[{"name":"Department of Surgery, Queen's Medical Centre , Nottingham NG7 2UH,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J F","family":"Mayberry","sequence":"additional","affiliation":[{"name":"Department of Surgery, Queen's Medical Centre , Nottingham NG7 2UH,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D A","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Queen's Medical Centre , Nottingham NG7 2UH,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P D","family":"James","sequence":"additional","affiliation":[{"name":"Department of Histopathology, Queen's Medical Centre , Nottingham NG7 2UH,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Atkinson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Queen's Medical Centre , Nottingham NG7 2UH,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1988,8,1]]},"reference":[{"key":"2024092806075301500_bib1","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1002\/bjs.18003815005","article-title":"Chronic peptic ulcer of the oesophagus and oesophagitis","volume":"38","author":"Barrett","year":"1950","journal-title":"Br J Surg"},{"key":"2024092806075301500_bib2","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/0016-5085(87)90847-X","article-title":"Barrett's oesophagus\u2014a prevalent occult complication of gastro-oesophageal reflux","volume":"92","author":"Winters","year":"1987","journal-title":"Gastroenterology"},{"key":"2024092806075301500_bib3","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1016\/S0022-5223(19)39666-7","article-title":"Columnar-lined lower oesophagus: an acquired lesion with malignant predisposition","volume":"70","author":"Naef","year":"1975","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024092806075301500_bib4","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1097\/00000658-198310000-00016","article-title":"Barrett's esophagus. 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