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Free practice question 8 of 20 · Upper GI

Oesophageal & gastric cancer: a free FRCS (Gen Surg) Section 1 question

An original single best answer question in the style of the FRCS (Gen Surg) Section 1 paper, with the answer and a referenced explanation. Pick an answer to reveal it, then rate how sure you were.

08Upper GI·Oesophageal & gastric cancer
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A 61-year-old man has a gastroscopy for reflux symptoms. There is a C4M6 segment of columnar-lined oesophagus above a 3 cm hiatus hernia, with no visible lesion. Quadrantic biopsies show intestinal metaplasia with no dysplasia. He is fit and wishes to have surveillance.

At what interval should his next surveillance endoscopy be planned?

How sure are you?

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Upper GI: what the exam tests

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