{Reference Type}: Journal Article
{Title}: Attending Training Courses on Barrett's Esophagus Improves Adherence to Guidelines: A Survey from the Italian Society of Digestive Endoscopy.
{Author}: Zagari RM;Eusebi LH;Galloro G;Rabitti S;Neri M;Pasquale L;Bazzoli F;
{Journal}: Dig Dis Sci
{Volume}: 66
{Issue}: 9
{Year}: 09 2021
{Factor}: 3.487
{DOI}: 10.1007/s10620-020-06615-6
{Abstract}: Little is known on practice patterns of endoscopists for the management of Barrett's esophagus (BE) over the last decade.<BR>Our aim was to assess practice patterns of endoscopists for the diagnosis, surveillance and treatment of BE.<BR>All members of the Italian Society of Digestive Endoscopy (SIED) were invited to participate to a questionnaire-based survey. The questionnaire included questions on demographic and professional characteristics, and on diagnosis and management strategies for BE.<BR>Of the 883 SIED members, 259 (31.1%) completed the questionnaire. Of these, 73% were males, 42.9% had > 50 years of age and 68.7% practiced in community hospitals. The majority (82.9%) of participants stated to use the Prague classification; however 34.5% did not use the top of gastric folds to identify the gastro-esophageal junction (GEJ); only 51.4% used advanced endoscopy imaging routinely. Almost all respondents practiced endoscopic surveillance for non-dysplastic BE, but 43.7% performed eradication in selected cases and 30% practiced surveillance every 1-2 years. The majority of endoscopists managed low-grade dysplasia with surveillance (79.1%) and high-grade dysplasia with ablation (77.1%). Attending a training course on BE in the previous 5 years was significantly associated with the use of the Prague classification (OR 4.8, 95% CI 1.9-12.1), the top of gastric folds as landmark for the GEJ (OR 2.45, 95% CI 1.27-4.74) and advanced imaging endoscopic techniques (OR 3.33, 95% CI 1.53-7.29).<BR>Practice patterns for management of BE among endoscopists are variable. Attending training courses on BE improves adherence to guidelines.