Rejected at 7:38 a.m. Feb, 26, 2024 ] by herstein.jacob
Author: Standiclan
Related Note: 1535300977123 3
Rationale for change

Adds clarity to the progression of treatment and clarifies the differerent cases where fundoplication and radiofrequency ablation are used.

Per Amboss:
Antireflux surgery, such as Nissen fundoplication, is used for the long-term management of certain patients with chronic GERD (e.g., those with persistent symptoms despite appropriate medical treatment). However, it cannot prevent malignant transformation in patients who already have BE with dysplastic changes. Therefore, endoscopic eradication of dysplasia via mucosal resection and/or radiofrequency ablation is the treatment of choice in patients with high-grade dysplasia. Endoscopic eradication is also preferred for BE with low-grade dysplasia but surveillance endoscopy every 12 months is an acceptable alternative.
Source: AMBOSS - https://next.amboss.com/us/article/vg0AC2?q=barrett%20esophagus

Rejection reason

Overcomplicating card - tx of Barrett with/without dysplasia is covered in other cards

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