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1. The following techniques are used in the diagnosis and assessment of Barrett esophagus:
2. The management options for high-grade dysplasia include the following:
3. The diet for patients with Barrett esophagus is the same as that recommended for patients with GERD. Patients should avoid the following:

Esophagogastroduodenoscopy (EGD): The procedure of choice for the diagnosis of Barrett esophagus

Mustard

Coffee

Biopsy: The diagnosis of Barrett esophagus requires biopsy confirmation of specialized intestinal metaplasia (SIM) in the esophagus

Surgical resection: While studies have shown surgery to be efficacious in the control of GERD symptoms, no good evidence indicates that surgical therapy provides regression in Barrett esophagus

Endoscopic ablation: In most major medical centers, ablation is first-line therapy

Chocolate

Citrus fruits or juices

Ultrasonography: When high-grade dysplasia or cancer is found on surveillance endoscopy, endoscopic ultrasonography (EUS) is advisable to evaluate for surgical resectability

Carbonated beverages

Ketchup

Tomato sauce

Surveillance endoscopy, with intensive biopsy at 3-month intervals until cancer is detected

Fried or fatty foods

Vinegar

Alcohol

Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs)

Peppermint