hello as you have ssaid you are suffering from barrets oesophagitis following are the guidelines from american gastroenterrology association Radiofrequency ablation may be an appropriate therapeutic alternative for verified low-grade dysplasia in selected cases if an experienced provider is available. Esophagectomy is the only therapy for high-grade dysplasia that clearly removes all of the neoplastic epithelium, but it also has the highest rates of procedure-related mortality and long-term morbidity. On the other hand, endoscopic eradication therapy is available, has proven efficacy (although long-term data are not yet available), and is relatively safe. The choice of treatment for high-grade dysplasia and intramucosal cancer in Barrett s esophagus depends upon: The patient s age (eg, older patients with Barrett s esophagus are less likely to develop cancer due to their shorter life expectancy compared with younger patients) The patient s comorbidities(other diseases) The extent of dysplasia (short segments or Barrett s esophagus are easier to ablate than longer segments with multifocal dysplasia) Local expertise in surgery and endoscopy The patient s preferences with regard to undergoing surgery, undergoing repeated endoscopies, and accepting the possibility of recurrent neoplasia in the absence of esophagectomy For most patients with Barrett s esophagus and high-grade dysplasia who are fit to undergo endoscopy, we suggest endoscopic eradication therapy rather than esophagectomy or intensive endoscopic surveillance . Endoscopic eradication therapy includes endoscopic mucosal resection for the removal and staging of visible lesions (if present), followed by radiofrequency ablation or photodynamic therapy to ablate the remaining metaplastic epithelium. For younger patients with high-grade dysplasia, especially for those with long-segment Barrett s esophagus and multifocal dysplasia, esophagectomy is a reasonable alternative. After a thorough discussion with the younger patient of the risks and benefits of endoscopic eradication therapy and esophagectomy, the choice between the two should be based on patient preferences and the availability of skilled practitioners. For very elderly or infirm patients for whom invasive endoscopic procedures pose a substantial risk, intensive endoscopic surveillance is reasonable. take care