Doctor insights on:
Gastric Cardia Adenocarcinoma
Abnormal esophagus: "metaplasia" describes transformation of one tissue type to another. In the lower esophagus, which is lined by squamous epithelium, abnormal exposure to gastric acid juices from reflux can lead the epithelium to convert itself to the kind of glandular lining seen in the stomach. This can be a pre-cancerous change. ...Read more
Gastric body-type mucosa with mild chronic, non-specific gastritis with intestinal metaplasia, negative forhelicobacter pylori.Have 5cm hitas hernia, ulc?
Might be Barrett's: Intestinal metaplasia typically refers to changes in the esophageal mucosa, and is associated with a disease called "barrett's esophagus." this is a precancerous condition, and you need to be followed by either a general surgeon who does endoscopy, or a gastroenterologist. ...Read more
GERD defined: Gastroesophageal reflux disease (gerd) involves movement of stomach contents back into your esophagus. Gerd can be "silent" in a substantial # of patients, manifesting with ear/nose/throat & lung problems without heartburn. Heartburn is the common presentation of burning discomfort in your chest with exposure of the esophagus to stomach contents. See earlier healthtap answers for gerd prevention. ...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
Many Possibilities: If this is chronic and not a new problem may need to consider your diet such as things like coffee, smoking, spicy foods, and alcohol intake. Also there can be a chronic infection of the stomach that can cause this called h. Pylori which can be tested for by blood and stool tests. This is treatable with antibiotics. Also try otc meds like Zantac (ranitidine) and Prilosec with maalox. Try changing diet as well. ...Read moreSee 1 more doctor answer
Endoscopy pathology report. Benign gastric antral mucosa with mild chronoc inactive gastitis focal intestinal metaplasia present? What does it mean?
No cancer: There are no serious issues with the tissue submitted to pathology. 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. 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
Chronic non-helicobactor, nsaid, drinker, h-pylori or bile gastritis for five years. Can foveolar hyperplasia lead to gastric cancer?
Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?
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
What is Squamous mucosa with reflux esophagitis (basal cell hyperplasia, intraepithelial eosinophils)? &Esophagitis found with linear furrowing?
What could cause gastritis, duodenitis, & esophagitis? Have had nissen & lap chole for acalculous cholecystitis.
H. pylori: The most common cause of gastritis and duodenitis is a bacterium called helicobacter pylori. When large amounts of the bacteria invade your stomach or small intestine, inflammation can occur. Curing helicobacter pylori (h. Pylori) infection may provoke reflux esophagitis. ...Read moreSee 1 more doctor answer
It will be hard to p: Metaplasia can be caused by any number of irritants. In the duodenum, it could be related to bile exposure, acid exposure and unknown causes. It will be very hard to pin point the cause. But you already know it is there, so better monitor it regularly through your gastroenterologist's supervision. ...Read more
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
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