• Grade 0: no BE

• Grade 2: circumferential [C]

or tongue [T] type, longest BE <1 cm

• Grade 2: C type, 3cm > longest

BE ≥1cm or T type, longest BE ≥1cm

• Grade 3: C type, shortest BE ≥3cm

Measured by the scale on the endoscopic shaft

Initial Management

•Biopsy: at least 8 random biopsies or 4 biopsies/cm of circumferential BE, and one biopsy/cm in tongues of BE

•Histology Δ +: intestinal metaplasia

•Treatment:

–PPI

–Endoscopy

–Surgery

•Repeat endoscopy: every 3 months to 5 years depends on grade and histolog