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Doctor insights on: Barrett Esophagus

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Dr. Michael Samach
225 doctors shared insights

Barrett Esophagus (Overview)

Of the esophagus due to acid reflux damage. The esophagus has different lining than the stomach. When it is exposed to too much acid, it changes to a lining that likes acid better i.e. Barrett's esophagus. It looks different from the regular esophagus on biopsy but can only be proven with a biopsy. A premalignant condition but chance of changing over to cancer is somewhat low.


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When a man has barrett's esophagus, what does it mean?

When a man has barrett's esophagus, what does it mean?

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 more

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Dr. Michael Samach
225 doctors shared insights

Barrett Esophagus (Overview)

Of the esophagus due to acid reflux damage. The esophagus has different lining than the stomach. When it is exposed to too much acid, it changes to a lining that likes acid better i.e. Barrett's esophagus. It looks different from the regular esophagus on biopsy but can only be proven with a biopsy. A premalignant condition but chance of changing over to cancer is somewhat low.


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How does GERD lead to barrett's esophagus?

Acidity+cell changes: Your esophagus is not designed to handle acidic secretions. In gerd, the cells in the esophagus are frequently exposed to acidity and become damaged. Over time, the tissue adapts by changing its cells into ones similar to cells in the stomach. This called metaplasia. Because these kinds of cells are abnormal in the esophagus, people with barrett's are at greater risk for esophageal cancer. ...Read more

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What symptoms make you think of barrett's esophagus?

What symptoms make you think of barrett's esophagus?

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 more

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Can a special diets reduce barrett's esophagus symptoms?

Can a special diets reduce barrett's esophagus symptoms?

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 more

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Diagnosis of barretts esophagus recently but prevacid (lansoprazole) + tagamet not helping after 3 months. What next?

Diagnosis of barretts esophagus recently but prevacid (lansoprazole) + tagamet not helping after 3 months. What next?

prevacid (lansoprazole) and tagamet: I presume you mean this regimen isn't helping your heartburn or reflux. Follow up with local GI for further guidance. ...Read more

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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?

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

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What are the tests for barrett's esophagus?

Endoscopy: An endoscopy and biopsy is needed to assess the barrett's and decide if there are precancerous cells that require more aggressive therapy. ...Read more

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Does marijuana cause barrett's esophagus?

Does marijuana cause barrett's esophagus?

Not known yet: Marijuana does affect the intestinal tract, which includes the esophagus, stomach, and intestines. It is uncertain if marijuana worsens gastroesophageal reflux (the cause of heartburn and barrett's esophagus changes), improves ge reflux, or has no effect on reflux. Those who like marijuana say that marijuana improves reflux symptoms, but there is not good research evidence to back up their claims. ...Read more

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How do complementary doctors treat barrett's esophagus?

Follow MD advice: What are complementary doctors? There are effective conventional treatment for barrett esophagus. Untreated, it may lead to persistent heartburn, bleeding, scarring, obstruction of esophagus and in some cases to cancer. ...Read more

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How is barrett's esophagus typically treated?

How is barrett's esophagus typically treated?

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 more

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Esophagus (Definition)

This is the muscular structure built like a tube that connects your throat to the stomach though which food ...Read more