Doctor insights on:
Barretts Esophagus With No Dysplasia
Can barretts metaplasia (no dysplasia) progress directly to adenocarcinoma of esophegus within 4 months of egd scopy?
Unlikely: Does your question signal that it did happen? Even if biopsies are negative for dysplasia, biopsies are just that, biopsies of a larger lesion. Biopsies always have the chance of having sampling error...Meaning the most severe part of the lesion was not sampled. The risk of sampling error would go up with a larger lesion than was minimally, and not systematically, biopsied. ...Read more
Barrettes esophagit.: it is possible.Get a more detailed answer ›
By definition, but..: Barrett's esophagus is a response to chronic reflux; it can be short segment or long segment. Long segment is more associated with risk for malignancy. Barrett's is uncommon response to reflux; cancer is uncommon in barrett's. Barrett's pts get closer endoscopic scrutiny/surveillance. Can get rx re: reflux (it's unsure if it really decreases risk of ca), and to remove barrett's tissue before ca. ...Read more
No: Barrett's esophagus is one of the complications of GERD. It is characterized by the replacement of the normal stratified squamous epithelium lining of the esophagus by simple columnar epithelium with goblet cells About 10% of people with chronic symptoms of GERD develop Barrett's esophagus.Patients with Barrett's esophagus do have an increase the risk of developing esophageal adenocarcinoma but the complication is rare with less than 1% of patients developing this particular cancer ...Read moreSee 2 more doctor answers
Esophagus biopsy taken distal and mid r/o EoE. Final diagnosis says reflux distal esophagus and active with rare intraepithelial eosinophils. Help?
Your biopsy is fine: You do not need to worry about your Biopsy report as it does not indicate anything significant. If you have symptoms of Acid Reflux(hear burn and frequent burps), you should take an antacid on a daily basis. You can choose between(Zantac (ranitidine) or Pepcid(Less expensive) or Prilosec which is more effective but may be slightly more costly. ...Read more
Endoscopy in Asia with Gastric Mucosa Biopsy result Gastritis mild, inactive
Complete intestinal metaplasia without dysplasia No H.pylori ,meaning pls?
Gastroenterologist: Mild inflammatory changes of the stomach lining was found, but intestinal metaplasia means that some of the stomach lining has morphed into a potentially premalignant pattern. Absence of dysplasia is favorable. Because of metaplasia I feel you should be carefully followed by a gastroenterologist who will monitor your situation with periodic endoscopic examinations. You don't need treatment for HP ...Read more
Possible but unusual: Most likely lower esophageal adenocarcinoma is caused by gerd, which changes the lining of the lower esophagus into that of the stomach (barrett's) which is a precursor for adenocarcinoma. However, one could have squamous cell type without gerd. Best to review with your gastroenterologist. ...Read moreSee 1 more doctor answer
Yes and no: Acid reflux is not clearly a cause of esophageal cancer. But there is an association of reflux (acid and non-acid) to barrett's esophagus/adenocarcinoma of the esophagus. There are other types of esophageal cancers, which may or may not be related to reflux. ...Read moreSee 1 more doctor answer
Antrum biopsy showed mild chronic inactive gastritis with focal intestinal metaplasia with no helicobacter organism. Does that mean cancer?
No: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, the information you provided does not suggest any serious issue and certainly no cancer. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more
Gastric acid: If you have gastric acid hypersecretion (too much gastric acid), you may develop gastric ulcers, and if this acid goes up to the esophagus for a long time, you can develop barrett's esophagus. ...Read more
HAD ENDOSCOPY DONE RESULT ESOPHAGEAL MOBILITY DISTURBANCE(BIOPSY) ERYTHEMA IN THE ATRUM COMPATIBLE WITH GASTRITIS (BIOPSY) EVIDENCE OF FUNDOPLICATION?
Irritation: Results like this are fairly common and not specifically indicative of any particular disease. Often the Gastroenterologist will try an acid blocker to relieve symptoms. One of the main reasons they do the biopsies is to rule out cancer, and nothing you noted above sounds like any kind of cancer. Discuss the findings, and their relation to your symptoms, with the GI Dr. who performed the endo ...Read moreSee 1 more doctor answer
Antral erosion with (mild) congestive gastropathy with gastric polyp with erosive duodinitis (polypectomy done) explanation, advice and diet please.
What is Squamous mucosa with reflux esophagitis (basal cell hyperplasia, intraepithelial eosinophils)? &Esophagitis found with linear furrowing?
Treat the GERD: If the GERD is treated properly with antacids, there is very little risk of developing Barretts. There is very remote if any chance of developing Gastric Cancer. So youc an relax and take your PPIs as needed to keep the heart burn under full control. You may ahve to take PPIS for a long time. But you can get the Cancer fear out of your mind. You may need Upper endoscopy every 10 years to look fo ...Read more
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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