A member asked:

Are there any alternatives to surgery for barrett's esophagus?

10 doctors weighed in across 5 answers

Several: For barrett's without dysplasia, or low grade dysplasia, acid reduction and endoscopic surveillance is fine. For small flat areas of high grade dysplasia, endoscopic options include endoscopic mucosal resection and radiofrequency ablation, for long segments of high grade dysplasia and very nodular high grade dysplasia the risk of hidden cancer is high and esophagectomy is the best option.

Answered 7/28/2012

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Yes: Endoscopic mucosal resection (stripping of the esophageal lining) and radifrequency ablation of the mucosa.

Answered 4/9/2015

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Barrett's.: This is a change in the esophagus in response to longstanding reflux. It is a precancerous change which requires frequent surveillance EGDs to make sure cancer is not developing. If Barrett's is found, the abnormal areas can be ablated so that they do not progress to cancer. Surgery only really needed if cancer is found.

Answered 11/26/2015

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Dr. Tracy Berg answered

Specializes in General Surgery

Barrett's esophagus: There are alternatives. Acid reducers are essential therapy. Typically a wrap of the stomach is added to stop the acid from washing up the esophagus. Some centers are also adding an endoscopic ablation of the inner lining of the esophagus where the barrett's is located. Long term monitoring is necessary, as barrett's has risk for cancer. Good luck.

Answered 9/28/2016

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Yes. : Barrett's esophagus is a condition that arises due to chronic acid reflux or gerd. It increases the likelihood of developing esophageal cancer. There is a procedure called halo which can cure barrett's without major surgery. The more important step is to get his reflux fixed by either a tif (transoral incisionless fundoplication) or a laparoscopic nissen fundoplication.

Answered 12/24/2013

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