{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T13:16:03Z","timestamp":1762175763367},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2003,3,14]],"date-time":"2003-03-14T00:00:00Z","timestamp":1047600000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2003,3]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> \u2003Oesophagectomy for high\u2010grade dysplasia is controversial.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> \u2003A prospective study was carried out on all patients who presented between 1993 and 2001 with dysplasia or early adeno\u00adcarcinoma who were considered fit for surgery. Details of endoscopic biopsies, appearance, surveillance, operative pathology and outcome were recorded.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> \u2003Of 18 patients, one had low\u2010grade dysplasia, six had high\u2010grade dysplasia and 11 had early adenocarcinoma. No patient had their biopsy diagnosis down\u2010staged following final pathology, but two patients with high\u2010grade dysplasia on biopsy were upstaged to adenocarcinoma. Our only death from disease occurred in a 39\u2010year\u2010old man who had undergone yearly surveillance for 86\u2003months until adenocarcinoma was confirmed. There was no operative mortality.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> \u2003Oesophagectomy for early adenocarcinoma and dysplasia in Barrett's oesophagus can be done with acceptable rates of mortality and morbidity. 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