ROBERT G. NORFLEET, M.D.
To the editor: Dr. Spechler's editorial advising endoscopic surveillance for patients with Barrett esophagus (1) is of great interest. Although I agree with this recommendation (2) and examine my patients with Barrett esophagus regularly, I would like to point out that Dr. Spechler and his colleagues came to a different conclusion in an article they had published in 1984 (3). In that study, 8 of 115 patients with Barrett esophagus were found already to have esophageal cancer when first seen. One hundred five patients without cancer had yearly examinations that included esophagoscopy with biopsy and brush cytology, and
NORFLEET RG. Barrett Esophagus. Ann Intern Med. 1987;107:427–4270. doi: 10.7326/0003-4819-107-2-427_2
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Published: Ann Intern Med. 1987;107(3):427-4270.
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