{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T06:26:50Z","timestamp":1772864810120,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"s1","license":[{"start":{"date-parts":[[2004,1,16]],"date-time":"2004-01-16T00:00:00Z","timestamp":1074211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aliment Pharmacol Ther"],"published-print":{"date-parts":[[2004,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>There is a strong association between symptomatic gastro\u2010oesophageal reflux and oesophageal adenocarcinoma. With this in mind, the American College of Gastroenterology has recently revised its practice guidelines for the screening of patients with chronic gastro\u2010oesophageal reflux disease (GERD) to identify those at risk of oesophageal adenocarcinoma, and recommends surveillance to identify curable oesophageal neoplasms in patients with established Barrett's oesophagus. Patients\u2002 with chronic GERD symptoms, particularly those aged over 50\u2003years, should undergo upper endoscopy. Patients\u2002 found to have Barrett's oesophagus should be treated with acid suppression for GERD symptoms and then undergo regular surveillance endoscopy. Surveillance endoscopy every 3\u2003years is recommended for those without dysplasia. For patients with verified low\u2010grade dysplasia, yearly surveillance endoscopy is recommended. For those with focal high\u2010grade dysplasia (defined as high\u2010grade dysplastic changes involving fewer than five crypts), the condition may be followed with endoscopic surveillance performed at 3\u2010month intervals. If there is verified, multifocal high\u2010grade dysplasia, intervention (e.g. oesophagectomy) may be considered. Both observational and computer models suggest a benefit associated with screening and surveillance. Endoscopic screening and surveillance for Barrett's oesophagus compares favourably with mammography for the detection of breast cancer and other accepted medical practices.<\/jats:p>","DOI":"10.1111\/j.0953-0673.2004.01838.x","type":"journal-article","created":{"date-parts":[[2004,1,16]],"date-time":"2004-01-16T09:17:00Z","timestamp":1074244620000},"page":"49-53","source":"Crossref","is-referenced-by-count":22,"title":["Screening and surveillance of Barrett's oesophagus: what is a cost\u2010effective framework?"],"prefix":"10.1111","volume":"19","author":[{"given":"S. J.","family":"Spechler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Barr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,1,16]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00008469-199204000-00008"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19981115)83:10<2049::AID-CNCR1>3.0.CO;2-2"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8553(05)70098-4"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01474.x"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(99)70175-7"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8553(05)70319-8"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1055-3207(18)30213-8"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199903183401101"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(95)90642-8"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9440(10)65346-1"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.46.1.9"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)03411-5"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(92)91510-B"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8553(05)70308-3"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.47.2.251"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(99)70123-X"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(93)90008-Z"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1053\/gast.2000.9302"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1053\/gast.2002.31599"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00052937"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2002.05910.x"},{"key":"e_1_2_6_23_2","first-page":"A352","article-title":"Erosive esophagitis impairs accurate detection of Barrett's esophagus: a prospective randomized double blind study","volume":"116","author":"Weinstein W","year":"1999","journal-title":"Gastroenterology"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(00)70136-3"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1052-5157(18)30114-4"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2002.05767.x"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(94)70178-4"},{"key":"e_1_2_6_28_2","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/S0022-5223(19)34219-9","article-title":"Endoscopic surveillance of Barrett's esophagus. Does it help?","volume":"105","author":"Streitz JM","year":"1993","journal-title":"J Thorac Cardiovasc Surg"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.43.2.216"},{"key":"e_1_2_6_30_2","doi-asserted-by":"publisher","DOI":"10.1053\/gast.2002.31879"},{"key":"e_1_2_6_31_2","doi-asserted-by":"publisher","DOI":"10.1053\/gast.2002.30297"},{"key":"e_1_2_6_32_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2000.02173.x"},{"key":"e_1_2_6_33_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-138-3-200302040-00009"},{"key":"e_1_2_6_34_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1998.00275.x"},{"key":"e_1_2_6_35_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1999.01276.x"},{"key":"e_1_2_6_36_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2036.2002.01146.x"}],"container-title":["Alimentary Pharmacology &amp; Therapeutics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.0953-0673.2004.01838.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.0953-0673.2004.01838.x","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.0953-0673.2004.01838.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T11:01:48Z","timestamp":1695812508000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.0953-0673.2004.01838.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,1,16]]},"references-count":35,"journal-issue":{"issue":"s1","published-print":{"date-parts":[[2004,2]]}},"alternative-id":["10.1111\/j.0953-0673.2004.01838.x"],"URL":"https:\/\/doi.org\/10.1111\/j.0953-0673.2004.01838.x","archive":["Portico"],"relation":{},"ISSN":["0269-2813","1365-2036"],"issn-type":[{"value":"0269-2813","type":"print"},{"value":"1365-2036","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,1,16]]}}}