Avoid monitoring Barrett's esophagus more frequently than recommended in national guidelines

Rationale:

Barrett's esophagus (intestinal metaplasia) is a relatively common premalignant condition resulting from gastroesophageal reflux disease. The risk of cancer development depends on the length of the mucosal changes and the presence of dysplasia or focal changes. Frequent monitoring leads to a significant number of unnecessary examinations.

The National Action Program for Esophageal Cancer provides recommendations for the management of Barrett's esophagus. Avoid monitoring Barrett's esophagus more frequently than recommended in the guidelines. 

Reference: 

• Helsedirektoratet (2015). Nasjonalt handlingsprogram med retningslinjer for diagnostikk, behandling og oppfølging av pasienter med spiserørskreft [nettdokument]. Oslo: Helsedirektoratet (sist faglig oppdatert 07. februar 2020). Tilgjengelig fra https://www.helsedirektoratet.no/retningslinjer/spiserorskreft-handlingsprogram