Doctor insights on:
Quickly Barretts Esophagus Treatment
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
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
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
What can I do if my dad has barretts esophagus, what will happen if he does not have the recommeded surgery?
Barretts: Puts him at risk of developing esophageal cancer. A very difficult cancer to treat and cure once established. Treat this aggressively with meds and possible ablation surgery. Its an easy day procedure called halo 90 or 360. Talk to a gastroenterologist or surgeon. ...Read moreSee 1 more doctor answer
I was diagnosed with barretts esophagus but there is no dysplasia. If i continue to drink every weekend, how fast can this condition worsen?
Slow progression: Barrett's esophagus is when cells of the lower esophagus began to change because of ongoing injury. Related to chronic acid reflux disease from the stomach. Can lead to cancer. Patients with this condition are placed on acid reducing medications; may require a surgery to stop the reflux. Alcohol is uncommon cause. You should have endoscopy routinely to follow it. Progression to cancer not rapid. ...Read more
Does barretts esophagus occur in 25 year olds with only occasional acid reflux?Or does it more occur in older people with severe lifelong acid reflux?
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
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
Ive been worried about developing barretts esophagus. But im only 25 and only get reflux occasionally and its never severe. Should i stop worrying?
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
Just diagnosed with barretts esophagus. Had many questions on the way home but doctor is gone now. Can you tell me about the condition?
Newly dx'ed Barretts: 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
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