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If the indefinite for dysplasia reading is confirmed on this examination, a surveillance interval of 12 months is recommended For patients with confirmed low-grade dysplasia and without life-limiting comorbidity, endoscopic therapy is considered as the preferred treatment modality, although endoscopic surveillance every 12 months is an acceptable alternative Patients with BE and confirmed high-grade dysplasia should be managed with endoscopic therapy unless they have life-limiting comorbidity There are some limitations to a managing Barretts with surveillance

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They dont do anything about the underlying pigmentation, the accumulated sun damage, or the dullness that builds up over time

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