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
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
Ive been worried about developing barretts esophagus. But im only 25 and only get reflux occasionally and its never severe. Should i stop worrying?
Intestinalization: Barrett’s esophagus is a condition in which the tissue lining the esophagus is replaced by tissuet similar to the intestinal lining .It is estimated to affect 1.6 to 6.8 percent of people. Reflux disease (GERD) is a risk factor for the condition. Between 5 and 10 percent of people with GERD develop Barrett’s esophagus. IT diagnosed with an upper GI endoscopy. Conversion to Ca is about 5%/yr. ...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. If Barrett's is found, the abnormal areas can be ablated so that they do not progress to cancer. Remember, reflux comes from an anatomic issue, so medications don't stop reflux and thereby may not prevent Barrett's. ...Read moreSee 1 more doctor answer
Dangerous combo: Barrett's esophagus implies chronic inflammation and risk of cancer. If you're purging by vomiting, this is an even more dangerous situation. You need focused treatment of both your eating disorder and your esophagus. There are inpatient and intensive outpatient eating disorder programs: http://tinyurl.Com/kyedojd a GI specialist needs to be part of your treatment team also please get started. ...Read more
Antacids, but...: The most recent reviews i've seen indicate that there's no clearly effective treatment for barrett's itself, though the most cost-effective ways to manage the reflux that often causes it are antacids / anti-acid medicines and propping up the head of your bed on cinder blocks. Barrett's is common and your physician knows whether & how to follow you for pre-cancer, for which you get added treatment. ...Read moreSee 1 more doctor answer
No. : A new procedure called halo is available to treat barrett's esophagus. It uses radio frequency ablation to eradicate the abnormal tissue. A few studies have shown regression of barrett's following lap nissen reflux surgery. This is a serious condition. Make sure that you are evaluated by endoscopy on a regular basis, probably yearly to make sure it is not turning into cancer. ...Read moreSee 2 more doctor answers
Is barretts esophagus considered an inflamatory condition? Would having barrets with no displasia make CRP level high?
Probably not: This pathologist believes that people pay way too much attention to crp. It's often up for no reason, and of course it's a marker for atherosclerosis along with dozens of others. Neither sensitive nor specific for anything, it's not worth troubling yourself over. ...Read moreSee 1 more doctor answer
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