Monday, June 21, 2010

Frequency for Sequential or Periodic Diagnostic EGD(s)

Frequency for Sequential or Periodic Diagnostic EGD(s)
  • Follow-up of selected esophageal, gastric or stomach ulcers to demonstrate healing (frequency of follow-up EGD is variable, but every two to four months until healing is demonstrated is reasonable).
  • Follow-up in patients with prior adenomatous gastric polyps (approximate frequency of follow-up EGDs would be every one to four years depending on the clinical circumstances, with occasional patients with sessile polyps initially requiring surveillance every six months).
  • Follow-up for adequacy of prior sclerotherapy and/or band ligation of esophageal varices (approximate frequency of follow-up EGDs is variable depending on the state of the patient, but every 6 to 24 months is reasonable after the initial sclerotherapy and/or band ligation sessions are completed).
  • Follow-up of Barrett?s esophagus (approximate frequency of follow-up EGDs is one to two years with biopsies, unless dysplasia is demonstrated, in which case a repeat biopsy in two to three months might be indicated).
  • Follow-up in patients with familial adenomatous polyposis (approximate frequency of follow-up EGDs is one year, depending on clinical circumstances, when adenomas of the duodenum have been demonstrated).

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