Doctor insights on:
Is barretts esophagus considered an inflamatory condition? Would having barrets with no displasia make CRP level high?
Probably not: This pathologist believes that people pay way too much attention to crp. It's often up for no reason, and of course it's a marker for atherosclerosis along with dozens of others. Neither sensitive nor specific for anything, it's not worth troubling yourself over. ...Read moreSee 1 more doctor answer
Anti reflux Rx: Be is a complication of chronic reflux; may be painless. Cells in lower esophagus look like intestinal cells, would be ok if they weren't esoph. Cells; less resistant to chemical onslaught. Pre-cancerous. 1% of barrett's pts. May develop adeno (gland) ca of esoph. Rx with aggressive med rx, ppi twice a day, and follow up endoscopy to check for "dysplasia"-more cancer-like; can remove by scope. ...Read moreSee 2 more doctor answers
Change in lining: Barrett's esophagus is when there is irritation to the area between the esophagus and stomach, causing the cells there to change from one form to another. The reason this is important is because the changed cells have a relatively high (compared to normal people) chance to progress to cancer. You would need endoscopy to find and treat this condition. ...Read moreSee 1 more doctor answer
Don't wait for sxs: Barrett's epithelium occurs as a terminal event in those with chronic gerd, but gerd symptoms may be mild or absent. Don't wait to feel sick since barrett's leads to esophagus cancer. Poorly treated barrett's can progress by replacing more & more of the esophagus lining, & can become dysplastic. Barrett's warrants surveillance endoscopy, aggressive acid suppression, & maybe ablation &/or surgery. ...Read moreSee 1 more doctor answer
Gastric reflux: Man or woman, barrett's esophagus results from damage to the lining of the esophagus due to backing up of stomach acid and enzymes. It often causes heartburn and may lead to ulceration, bleeding, scarring and with time may be cancer. Initial treatment is usually with antacids, but surgery may be needed. ...Read moreSee 4 more doctor answers
Sort of: Batretts esophagus is an asymptomatic disease caused by reflux. Barretts in itself may reduce reflux symptoms a bit but is a precancerous condition. Dietary modifications which help reflux symptoms include eating smaller meals, avoiding late meals, avoid caffeine, nicotine, peppermint, chocolate, spicy foods, tomatoes and tomato sauce. ...Read moreSee 1 more doctor answer
Barrett's not cancer: You have to remember that Barrett's esophagus is not cancer. It's a precursor to cancer, and if left untreated will become cancer, but it's not cancer. So, if you go for your endoscopies regularly and get the areas of Barrett's treated adequately and completely when they appear, it should not affect your life expectancy. ...Read more
Can barrett's esophagus once discovered and treated be healed or cured? Or will it always be there
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. ...Read moreSee 1 more doctor answer
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. ...Read moreSee 2 more doctor answers
Yes but rare: Barrett's tends to be a disease of middle - aged caucasion males. Having said that, I have seen barrett's in someone in their 20's. When in doubt, discuss it with your doctor for your options. ...Read more
Was planning to see classmates at upcoming 20th reunion. Now I am hearing my best friend has barrett's esophagus. What is that?
Common: If you had 200 classmates, probably 3-5 have barrett's, whether or not they know it. The increased cancer risk is real, but not tremendously high and the large majority never have any problems beyond occasionally needing to be endoscoped. Depending on the pathologist's report on initial biopsy, some people may only need to return if reflux symptoms get more troublesome. ...Read moreSee 2 more doctor answers
Is it possible to be diagnosed with Barrett's
Esophagus with no dysplasia in Feb 2013 and then in Aug 2014 no Barrett's was found?
Yes: If no Barrett's was found at the second endoscopy, it could be due to sampling portions of the esophagus which did not contain the abnormal Barrett's cells. I would discuss this with your gastroenterologist, to review the pathology results and see what kind of follow-up he or she recommends ...Read more