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Barrett esophagus surveillance — USMLE Step 3 MCQ

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HardInternal Medicine (chronic management)Barrett esophagus surveillanceUSMLE Step 3

A 59-year-old man with chronic GERD had endoscopy showing short-segment Barrett esophagus without dysplasia. He takes a proton pump inhibitor and has no dysphagia, weight loss, or bleeding. He asks about ongoing care. Which of the following is the most appropriate at this time?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Continue acid suppression and schedule surveillance endoscopy

Nondysplastic Barrett esophagus is managed with reflux control and periodic surveillance, not immediate surgery.

Reference: American College of Gastroenterology Barrett esophagus guideline: https://gi.org/