The benefit of EGD surveillance in individuals with Lynch syndrome is still a topic of debate.
Considering the invasive nature of the procedure, the patients’ burden, and—albeit small–the risks associated with conscious sedation and the procedure itself, it is essential to provide EGD surveillance only to individuals at high risk of developing GC and DC who could benefit from this procedure.
https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00073-7/fulltext#secsectitle0095
Lynch Syndrome Ireland 