New National Barrett’s Surveillance Guidelines

Findings Surveillance
Intestinal metaplasia of the cardia Not recommended
Irregular Z line Not recommended
<3cm without IM Repeat gastroscopy with quadrantic biopsies – if still no IM, discharge from surveillance
<3cm with IM Every 3-5 years (agreed 4 yearly L&D)
>3cm  Every 2-3 years (agreed 2 yearly L&D)