Patient Perspective
Patients should be fully informed about their diagnosis and have an initial discussion about the pros and cons of surveillance. In the case of dysplasia (including indefinite, low grade and high grade), the diagnosis should be confirmed by an independent, expert histopathological review, and the patient should be informed of the diagnosis and the implications therein. When intervention is considered, the case should be reviewed by a specialist MDT for upper GI cancer, and the patient should have the opportunity to discuss the options in detail with experts from endoscopic and surgical disciplines.
All patients should be offered an appointment to discuss management decisions. When intervention is considered, therapeutic options should be discussed with an endoscopist as well as a surgeon (Recommendation grade C).