This month’s On the Spot owes a special debt to Prateek Sharma, MD, a professor of medicine at the University of Kansas Medical Center, who said there were enough issues in the area of upper GI endoscopy (UGI) to warrant a feature—and we agree! Our questions focus on what should be the standard of care—screening reflux patients for Barrett’s esophagus, peroral endoscopic myotomy (POEM) for achalasia, advanced imaging for detection of UGI lesions, biopsies for all