To the Editor: I am surprised that the Clinical Crossroads Update by Dr Burns1 did not comment on the statement that surveillance upper endoscopy for Barrett esophagus has been performed “every year as that is the patient's preference.”1 Mrs W had undergone 4 annual endoscopic examinations for Barrett esophagus without detecting dysplasia. Such a practice is inconsistent with current specialty society guidelines.2 - 3 Endoscopy performed every 3 years would have been appropriate.
Physicians may order tests or prescribe medications that patients request but that are not appropriate. However, a physician's responsibility is to advise the patient about what constitutes sound contemporary evidence-based principles. Medical professionalism should direct clinicians not to perform procedures that are not indicated.
Financial Disclosures: None reported.
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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