Barrett's Esophagus (BE) Documentation 1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as BE (histological diagnosis( 2. Document extent w/ Prague C&M criteria 3. M - proximal margins of cardiac folds to proximal margin SC junct 4. C - circumferential extent to proximal margin of cardiac folds 5. Air insufflation - Do not - should be moderate - insufflate and suck air gently till gastric folds clearly seen 6. BE - distal esophagus is lined with columnar epithelium or M >=1 cm - Dr. Madunil A Niriella @madunil #Barretts #Esophagus #Documentation #EGD #diagnosis #gastroenterology