Abstract
Biopsy samples from esophageal columnar metaplasia and dysplasia are commonly encountered in Western pathology practice and knowing a few pitfalls can save both pathologists and patients a great deal of anxiety. Herein we discuss criteria for Barrett esophagus, evaluation of dysplasia, and some pitfalls in reviewing endoscopic mucosal resections. Also included is a summary of suggested follow-up for patients with Barrett esophagus.
•This piece highlights a simple method for evaluation of dysplasia in Barrett esophagus•Differences in international criteria for diagnosis of Barrett esophagus are indicated.•Pitfalls in interpretation of endoscopic mucosal resections are addressed.