Calc Function

  • Diagnosis
  • Rule Out
  • Prognosis
  • Formula
  • Treatment
  • Algorithm
  • Disease
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    Diagnosis and Management of Barrett’s Esophagus

    Official guideline from the American College of Gastroenterology.

    summary by Shawn Shah, MD Adam Buckholz, MD

    Diagnosis, Screening, and Surveillance

    Diagnosis

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Low quality evidence

    Conditional recommendation
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    Low quality evidence

    Conditional recommendation
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    Low quality evidence

    Conditional recommendation
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    Low quality evidence

    Conditional recommendation
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    Very low quality evidence

    Screening

    Strong recommendation
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    Moderate quality evidence

    Strong recommendation
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    Low quality evidence

    Conditional recommendation
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    Low quality evidence

    Strong recommendation
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    Very low quality evidence

    Conditional recommendation
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    Low quality evidence

    Conditional recommendation
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    Low quality evidence

    Surveillance

    Strong recommendation
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    Very low quality evidence

    Strong recommendation
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    Low quality evidence

    Conditional recommendation
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    Very low quality evidence

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Very low quality evidence

    Strong recommendation
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    Moderate quality evidence

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Moderate quality evidence

    Conditional recommendation
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    Very low quality evidence

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Moderate quality evidence

    Strong recommendation
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    High quality evidence

    Therapy

    Chemoprevention

    Strong recommendation
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    Moderate quality evidence

    Conditional recommendation
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    High quality evidence

    Endoscopic

    Strong recommendation
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    High quality evidence

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Very low quality evidence

    Strong recommendation
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    Moderate quality evidence

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Moderate quality evidence

    Strong recommendation
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    Moderate quality evidence

    Strong recommendation
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    Moderate quality evidence

    Endoscopic Eradication Therapy

    Strong recommendation
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    Very low quality evidence

    Management After Endoscopy

    Strong recommendation
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    Low quality evidence

    Conditional recommendation
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    Low quality evidence

    Conditional recommendation
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    Low quality evidence

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Low quality evidence

    Conditional recommendation
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    Very low quality evidence

    Surgical

    Strong recommendation
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    High quality evidence

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Low quality evidence

    How strong is the ACG's recommendation?

    Strong recommendation
    Intervention's desirable effects clearly outweigh undesirable effects.
    Moderate recommendation
    Further research likely to impact confidence in estimate of effect.
    Conditional recommendation
    Uncertainty in tradeoffs between desirable & undesirable effects of intervention.
    Uncertainty in tradeoffs between desirable & undesirable effects of intervention.
    High quality evidence
    Further research unlikely to change guideline authors' confidence in estimate of effect.
    Between high and moderate levels of evidence.
    Moderate quality evidence
    Further research likely to impact confidence in estimate of effect.
    Low quality evidence
    Further research expected to have important impact in confidence in estimate of effect.
    Very low quality evidence
    Effect is very uncertain.