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Re: ‘Dedicated service for Barrett’s oesophagus surveillance endoscopy yields higher dysplasia detection and guideline adherence in a non-tertiary setting in the UK: a 5-year comparative cohort study’ by Ratcliffe et al
  1. Anjan Dhar
  1. Gastroenterology, County Durham and Darlington NHS Foundation Trust, Darlington, UK
  1. Correspondence to Professor Anjan Dhar, Gastroenterology, County Durham and Darlington NHS Foundation Trust, Darlington DL3 6HX, UK; adhar{at}nhs.net

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I read this paper with great interest and would like to congratulate Ratcliffe and coauthors for their well-designed comparative cohort study carried out in a non-tertiary centre.1 This paper emphasises the need for adequate time for assessment of Barrett’s oesophagus during surveillance, and confirms already published evidence recommending a Barrett’s inspection time of 1 min/cm length of the Barrett’s segment using high-definition white light endoscopy.2 3

There are a few important issues that need addressing when planning services for Barrett’s oesophagus surveillance in the UK.

First, while it is ideal to have a full dedicated Barrett’s list, with adequate time and a trained Barrett’s endoscopist, to achieve …

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  • Contributors I am the sole contributor of this letter and am responsible wholly for its content.

  • Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.