CHARLOTTE, N.C.—An alarmingly high proportion of patients referred from community practices to expert centers for evaluation of Barrett’s esophagus–related neoplasia are found to have a change in pathology grade and newly detected visible lesions, according to a recent systematic review and meta-analysis.
Guidelines across the GI societies support sending patients with BE-related neoplasia for evaluation at expert centers, but the effect of this trend has not yet been clear. To