Doctor insights on:
How Will Barretts Esophagus Affect My Health Going Forward
May get worse: Barrett's esophagus results from damage to the lining of the esophagus due to gastric acid and enzymes backing up into the esophagus. It may cause bleeding, ulceration, scarring and over a longer time may result in cancer. Initial treatment is with antacids, but depending on the defect and extent of damage, it may be treated with surgery. ...Read moreSee 1 more doctor answer
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 ...Read more
Barrett's.: This is a change in the esophagus in response to longstanding reflux. It is a precancerous change which requires frequent surveillance EGDs to make sure cancer is not developing. It does not cause symptoms, but you would have symptoms from longstanding reflux. ...Read moreSee 2 more doctor answers
Endoscopy: Barretts esophagus is a change in the cells of the inner lining of the esophagus due to prolonged acid exposure from gerd (~10% of gerd pts). While there is a 40-50 fold increase in esophageal cancer in this group, the highest risk is in people with dysplasia: >75% of pts with high-grade dysplasia will develop ca over the next 10 yrs if left untreated. This is diagnosed by biopsy during endoscopy. ...Read more
Don't undertreat!: Barrett's esophagus is not something to play around with! barrett's epithelium occurs as a terminal event in those with chronic gerd. Barrett's patients risks cancer of the esophagus. 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
Monitor: Several million folks have barrett's. The large majority never get cancer from it. You can comply with antacid treatment, raise the head of your bed on cinder blocks if this helps reflux, and work on fitness / losing the last of any extra body fat. Especially, getting biopsied as appropriate based on your initial results will serve as a guide to whether you need more aggressive treatment. ...Read more
Is there dysplasia?: The key issue with barrett's is whether there is any dysplasia . Dysplasia is an abnormality of the cells of the esophagus that have a distinct microscopic appearance. High-grade dysplasia (hgd) requires rx (surgical or endoscopic); low-grade dysplasia (lgd) warrants very close surveillance. Ironically, anti-reflux surgery has not led to a regression in barrett's changes as one would think. ...Read moreSee 1 more doctor answer
I have barretts esophagus and no GERD symptoms. I have a raspy voice often...Should i be concerned?
Yes, if this is new!: Barretts does not cause any change in the voice but gerd can do so. Have your gastroenterologist help you to resolve this problem which may need an ENT examination especially if the voice change is getting worse. ...Read more
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