Barrett’s oesophagus Ablating Barrett’s metaplastic

Testing of endoscopic ablation techniques for Barrett’s oesophagus should follow a ‘‘top down approach’’ B arrett’s oesophagus (BO) is a con-dition that causes many controver-sies. Identification and treatment of Barrett’s patients gives rise to many questions such as: how great is the risk of malignant degeneration for the entire group of Barrett’s patients and for individual patients? Does this risk jus-tify the efforts, costs, and risk of endoscopic surveillance? Are we doing more harm than good in subjecting patients with non-dysplastic BO t