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🚨 Optimizing biopsy sampling in Barrett’s esophagus surveillance:
The ultimate goal of Barrett’s esophagus surveillance is early detection of dysplasia and esophageal cancer — but this can be extremely challenging.
👉 Dysplastic lesions are often invisible and subtle, making them hard to spot even for experienced endoscopists.
🧠 To minimize missed diagnoses, guidelines recommend four-quadrant biopsies every 2 cm.
But here’s the question:
Can we further optimize tissue sampling to increase diagnostic yield?
📊 Beaufort et al. showed that performing single biopsies with the “turn-and-suction” technique significantly increases the amount of tissue obtained compared to other methods.
Here’s what they found 🧩
Double-biopsy + advance-and-close: 2.77 mm² (2.44–3.09)
Double-biopsy + turn-and-suction: 2.61 mm² (2.29–2.93)
Single-biopsy + advance-and-close: 3.14 mm² (2.81–3.46)
⭐ Single-biopsy + turn-and-suction: 3.54 mm² (3.22–3.86)
💡 Even small technical refinements can make a big difference in the quality of tissue sent to the pathologist — and ultimately, in patient outcomes.
www.thieme-connect.de/products/ejournals/abstract/10.1055/a-2606-7682
#Gastroenterology #BarrettsEsophagus #QualityImprovement
🙏 to Roberto Valente from the #ESGESocialMediaWorkingGroup for providing post text. Thank you!
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One month ago today, an ESGE delegation presented at the European Parliament to address key priorities for digestive health in Europe - including the impact of high-quality endoscopy, the importance of early detection, and the need to support effective, harmonised clinical practice across the EU.
The full session is now live on our site — link in bio!
A sincere thank you to our speakers, partners and colleagues who contributed to this important milestone for digestive health in Europe.
0 CommentairesComment on Facebook
One month ago today, an ESGE delegation presented at the European Parliament to address key priorities for digestive health in Europe - including the impact of high-quality endoscopy, the importance of early detection, and the need to support effective, harmonised clinical practice across the EU.
You can now watch the full session on our website:
👉 www.esge.com/post-esge-at-european-parliament-2025
A sincere thank you to our speakers, partners and colleagues who contributed to this important milestone for digestive health in Europe.
0 CommentairesComment on Facebook