]> 2026-07-31T10:06:34+00:00 WBR1030 0 en Repeat endoscopy after 6 months '''Incorrect'''-Repeat endoscopy after 6 months is only recommended for metaplasia. Continue with proton pump inhibitors '''Incorrect'''-In a GERD patient who has progressed to Barret's esophagus, a decision on endoscopic surveillance and appropriate surgical management will be the next best step although the patient will be continuing his proton pump inhibitors. Repeat endoscopy after 1 year '''Correct'''-Endoscopic surveillance every 1 year is recommended for low grade dysplasia in order to monitor the progression of the disease. Esophagectomy '''Incorrect'''-Esophagectomy is recommended for high grade dysplasia. Endoscopic ablation of the lower esophageal mucosa '''Incorrect'''-Endoscopic ablation of the lower esophageal mucosa may be helpful in managing high grade dysplasia. Primary Care Office Inpatient Facilities Vendhan Ramanujam A 46 year old male comes to his primary care physician with complaints of intermittent chest pain and difficulty in swallowing for the past 10 days. He denies any history of radiation of pain, difficulty in breathing, loss of appetite and loss of weight. He has a past medical history of gastroesophageal reflux disease for the past 5 years and is on treatment with proton pump inhibitors. He is also a known hypertensive and diabetic patient who is regular with his medications. He is a known smoker who quit smoking before 2 years and occasionally drinks alcohol. His vital signs are heart rate of 82 beats/min, respiratory rate of 16/minute, blood pressure of 130/80 mm Hg and oral temperature of 37.2 C. The patient is referred for an endoscopy where biopsies are taken from all the four quadrants within every 2 cm epithelium in the lower esophagus. The histopathology of the biopsies revealed a low grade dysplasia of the esophageal epithelium. What is the next best step in management of this patient? C Gastrointestinal Oncology 2020-10-28T02:25:08Z 2459150.600787 WBR1030