Gastroenterologists frequently fail to follow the Seattle protocol for surveillance of Barrett’s esophagus, particularly in situations when adherence to the biopsy method would have the biggest effect, new research shows (Tables 1 and 2).
| Table 1. Adherence to Seattle Biopsy Protocol Based on Length of Barrett’s Segment | |||||
| Protocol Adherence Definition | Segment Length | ||||
|---|---|---|---|---|---|
| 0-4 cm, n (%) | >4-6 cm, n (%) | >6-8 cm, n (%) | >8 cm, n (%) | P Value | |
| Lenient | |||||
| Adherent | 42,437 (80.6) | 1,696 (58.2) | 692 | ||