Surgeons should know that new guidelines clarify endoscopic surveillance for Barrett’s esophagus (BE) to reduce the risk of esophageal adenocarcinoma.

• A conditional recommendation supports surveillance for patients with nondysplastic BE.
• Strong recommendation for high-definition white light endoscopy combined with chromoendoscopy over white light alone.
• No specific endorsement for enhanced sampling techniques or biomarkers to predict progression.

These recommendations emphasize high-quality endoscopy and structured biopsy protocols, enhancing patient outcomes.