Top
20
Doctor insights on: Can Barrett's Esophagus Be Reversed

Share
1

1
Can barrett's esophagus be prevented if you have GERD?

Can barrett's esophagus  be prevented if you have GERD?

Barretts Esophagitis: By controlling the GERD by using proton pump inhibitor (PPI's) or if very severe by surgery we hope to prevent the acid from hitting the esophagus. This should prevent the occurrence of Barrett's in most cases. If you have Barrett's you need to have it followed by serial EGD's. ...Read more

See 2 more doctor answers

Esophagus (Definition)

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


2

2
Can acid reflux cause esophageal cancer without the patient ever having barretts esophagus?

Can acid reflux cause esophageal cancer without the patient ever having barretts esophagus?

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 more

See 1 more doctor answer
3

3
Can scarring of terminal illeum causing stricture due too ibd ever be reversed through medication or is surgery inevitble?

Can scarring of terminal illeum causing stricture due too ibd ever be reversed through medication or is surgery inevitble?

Early or late?: Early structures may resolve as the scar matures whereas mature scar structures in this location are typically treated with surgery. ...Read more

See 1 more doctor answer
4

4
Nissen fundoplication needs to be redone, can it be reversed/taken down instead?

Nissen fundoplication needs to be redone, can it be reversed/taken down instead?

Yes: Technically should be possible to take down and reverse nissen, even laparoscopically. The important question is why it was done and what the reason for wanting to have it reversed. Talk with your surgeon. A seond opinion may be helpful to assess the problem. ...Read more

See 1 more doctor answer
5

5
Diagnosed with gerd , taking PPI that relieves symptoms but will this prevent damage to oesophagus and thus Barrett's. Thanks?

Diagnosed with gerd , taking PPI that relieves symptoms but will this prevent damage to oesophagus and thus Barrett's. Thanks?

Ppi: I believe the answer is yes to both questions. However a gastroenterologist is best qualified to tell you how long to take ppi medication as well as answer your 2 questions. ...Read more

See 1 more doctor answer
6

6
Can a nissen fundaplication be reversed or taken down?

Can a nissen fundaplication be reversed or taken down?

Yes but why: Some times nissen's fundal plication needs revision , for various reasons, if if reversed with no reason reflux will return. ...Read more

7

7
Good morning. I've been diagnosed with intestinal metaplasia of the esophagus. Can this be reversible?

Good morning. I've been diagnosed with intestinal metaplasia of the esophagus. Can this be reversible?

Yes: Metaplasia by definition is reversible if the cause leading to this change is removed. You probably have gastroesophaeal reflux (GERD) and should consult a gastro-entrologist for proper treatment. You may consult this site for more info: http://www.mayoclinic.org/diseases-conditions/gerd/basics/definition/con-20025201 ...Read more

8

8
Possible to get esophageal cancer from bulimia if barrett esophagus also?

Possible to get esophageal cancer from bulimia if barrett esophagus also?

Yes.: If you have barrett's esophagus, you are at risk for adenocarcinoma of the esophagus. This accounts for 15% of esophageal cancers, and is usually in the distal 1/3 of the esophagus. It would be wise for you to see your doctor to closely follow this. ...Read more

See 5 more doctor answers
9

9
Can barrett's esophagus once discovered and treated be healed or cured? Or will it always be there

Can barrett's esophagus once discovered and treated be healed or cured? Or will it always be there

Yes: It is possible to reverse barretts if the acid irritation of esophagus is stopped. Surveillance is necessary to make sure this has occurred as failure can lead to dysplasia and cancer of the esophagus. ...Read more

See 1 more doctor answer
10

10
Can Sucralfate be taken long term by patients at a risk of esophogus cancer due to acid reflux?

Can Sucralfate be taken long term by patients at a risk of esophogus cancer due to acid reflux?

Yes but (answer #2): Sucralfate is adjunctive therapy that likely forms a coating over damaged tissue, in theory protecting the area from further injury. No drug is perfect however, so long-term safety and efficacy here may not achieve your goal. ...Read more

11

11
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

See 2 more doctor answers
12

12
Can barretts esophagus lead to cancer of esophagus?

Can barretts esophagus lead to cancer of esophagus?

Yes if untreated: If untreated barrett's ulcer of of esophagus , will tranforms to cancer , as already there is mucosal change ( sqamous metaplasia ) , there is high incidence of malignency and need close observation. ...Read more

See 1 more doctor answer
13

13
How can h.pylori can be killed..? Can peptic ulcers be completely cured? Along with esophagus..How?

How can h.pylori can be killed..? Can peptic ulcers be completely cured? Along with esophagus..How?

ANTI-BIOTICS: plus BISMUTH containing liquid (eg: Pepto-Bismol) Can in most cases CURE..(Acid control may also be used) Speak with your PCP (Primary Care Provider) Hope this helps! Z ...Read more

14

14
EGD showed barret's esophagus but biopsy was neg. If not true barret's, what would the condition be called, as a diagnosis?

EGD showed barret's esophagus but biopsy was neg. If not true barret's, what would the condition be called, as a diagnosis?

Clarify: There may have been some other mucosal alteration, or the biopsy may have missed the involved area, or the pathologist may have just meant no per malignant change though Barrett's was seen. ...Read more

15

15
Can there be a natural remedy for acid reflux disease, barretts esophagus and hiatal hernia?

Can there be a natural remedy for acid reflux disease, barretts esophagus and hiatal hernia?

Weight loss, elevate: Keeping the intra-abdominal pressures low is the key to keeping food/acid from refluxing into your esophagus. If you keep your head about 30 degrees (using cinder blocks under the bed posts is an inexpensive way to do this) of the parallel, most reflux is prevented. Weight loss also reduces abdominal pressure and keeps the food where it should be. Good luck! ...Read more

See 1 more doctor answer
16

16
Pancreatic cancer extended to the liver. Can it be treated still?

Pancreatic cancer extended to the liver. Can it be treated still?

Yes: Primarily with chemotherapy. There are several regimens that can be utilized but depends on how well the person is doing, other medical issues, and extent of the liver involvement. You need to meet with a medical oncologist. Hope this helps. ...Read more

See 1 more doctor answer
17

17
I have dysmotility of esophagus and GERD 3mmhg (scleroderma). Will be posibble to do fundoplication in the future if my esophagus will be ok? Thanks

Not indicated: Esophageal dysmotility is usually a strong contraindication for consideration of fundoplication surgery, as that surgery may cause worsening symptoms or an obstruction. ...Read more

19

19
Can acid reflux cause esophageal cancer without ever having barretts esophagus?

Can acid reflux cause esophageal cancer without ever having barretts esophagus?

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 more

See 1 more doctor answer
20

20
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

See 1 more doctor answer
Dr. Michael Samach
239 doctors shared insights

Barrett Esophagus (Definition)

Damage to the lower portion of the tube that connects the ...Read more