Oesophageal Disorders — Viva Defence

Opening statement (SASPOP, delivered aloud)

"Mr Atherton is a 70-year-old retired headmaster with long-segment Barrett's oesophagus that has progressed to confirmed low-grade dysplasia on surveillance, on a background of ischaemic cardiomyopathy, chronic kidney disease and anticoagulated atrial fibrillation. His main problems are: a premalignant oesophageal condition that has crossed the threshold where guidelines recommend endoscopic eradication rather than continued surveillance; procedural risk shaped by his cardiac function and anticoagulation; and the question of what he personally wants from treatment at this stage of his life. I would like to confirm the dysplasia, stage the segment properly, and then make an individualised decision with him about endoscopic eradication versus continued surveillance." ^[1]