Low-grade Dysplasia in Medicine / Internal Medicine — 56yo Man | Gastroenterology | SMLE Q#17839
SMLE Question #17839
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 56-year-old man has 6 months of frequent heartburn and acid regurgitation, worse after meals and when lying flat. He has no dysphagia, weight loss, or gastrointestinal bleeding. Upper endoscopy shows a 3-cm columnar-lined segment above the gastroesophageal junction; biopsies show Barrett esophagus with low-grade dysplasia. What is the best initial option in management?
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