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Doctor insights on: What Is Barretts

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What is barrett's esophagus?

What is barrett's esophagus?

Precancerous entity: Barrett's esophagus occurs when metaplastic columnar epithelium (that predisposes to cancer development) replaces the normal tissue of the esophagus. ...Read more

Dr. Michael Samach
245 Doctors shared insights

Barrett Esophagus (Definition)

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


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What is barrett disease and does it cause excessive hiccupiping. What is treatment?

What is barrett disease and does it cause excessive hiccupiping. What is treatment?

Let me help: Barrett's esophagus is a serious complication of gerd, it does, though, increase the risk of developing esophageal adeno-carcinoma.
Usually dose not cause excessive hiccupping.
Treatment gred apply her unless we developed malignancy. ...Read more

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What exactly is barrett's disease?

What exactly is barrett's disease?

Lining changes: Barrett's esophagus is a change in the appearance of the lining of the esophagus. It changes to a lining that one would typically find in the intestine, and not the esophagus. This is generally caused by chronic acid damage of the esophagus lining. Left unchecked, a small percentage will progress to cancer over years. It can be treated with medicine and/or surgery. ...Read more

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What is eagle-barrett syndrome?

What is eagle-barrett syndrome?

Prune-belly syndrome: Prune-belly or eagle-barrett syndrome is a rare form of fetal obstructive uropathy with reported incidence of 1:20, 000-1:50, 000 births. No definite genetic etiology has been determined, although seen 95% in male fetuses. 10% of affected cases have cardiac defects as well. Many affected individuals perish perinatally from lung hypoplasia and kidney failure - not always lethal, though. ...Read more

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What is eagle-barrett syndrome?

What is eagle-barrett syndrome?

Prune-belly syndrome: Prune-belly or eagle-barrett syndrome is a rare form of fetal obstructive uropathy with reported incidence of 1:20, 000-1:50, 000 births. No definite genetic etiology has been determined, although seen 95% in male fetuses. 10% of affected cases have cardiac defects as well. Many affected individuals perish perinatally from lung hypoplasia and kidney failure - not always lethal, though. ...Read more

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What percent of Barrett's esophagus patients have hiatial hernia?

What percent of Barrett's esophagus patients have hiatial hernia?

Unclear: Exact numbers depend upon which study is used. However, a meta-analysis of studies done in 2013 did show a strong relationship between hiatal hernia and Barrett's esophagus, with the association being most strong in patients who had longer segments of Barrett's esophagus. This is likely due to more exposure of the esophagus to gastric contents in the presence of a hiatal hernia. ...Read more

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What is exactly is barrett's esophagus?

What is exactly is barrett's esophagus?

Metaplastic change: Dr edmison is correct. The clinical importance is that this metaplastic change increasing one's risk for esophageal carcinoma. ...Read more

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What are the tests for barrett's esophagus?

What are the tests for barrett's esophagus?

Endoscopy: An endoscopy and biopsy is needed to assess the barrett's and decide if there are precancerous cells that require more aggressive therapy. ...Read more

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What are the symptoms of barrett's esophagus?

What are the symptoms of barrett's esophagus?

Heartburn or none: Patient with heartburn tend to have barrett's more commonly but a good portion of patients with barretts are asymptomatic. ...Read more

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My husband has been on daily PPI's for over a decade for Barrett's. What are the long term side effects? Should he try to stop?

My husband has been on daily PPI's for over a decade for Barrett's. What are the long term side effects? Should he try to stop?

No but: No known data that long term ppi's prevent worsening barretts and need to see the gastroenterologist for repeat endoscopy to see the progression about every 6-12 months depending on severity; ppi's can cause more gastric cancers, decrease absorption of acid depending absortion of some vitamins and nutrients and increase helicobacter pylori infection. Reasonable to stop it but check with g.i. dr ...Read more

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What are the symptoms of barretts esophagus?

Maybe none: Maybe chronic heartburn or acid reflux or no symptoms. Barrett's esophagus itself is cell changes seen on a biopsy, and these cell changes would have no symptoms by itself. Only way to watch is by endoscopy & biopsy. ...Read more

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What is the treatment for barrett esophagus?

What is the treatment for barrett esophagus?

Watch, ablate: If high grade dysplasia then radiofrequency ablation should be done. If only low grade dysplasia or no dysplasia then we monitor with serial endoscopies. ...Read more

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So what are the symptoms of barretts esophagus?

So what are the symptoms of barretts esophagus?

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 more

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What is the treatment for barrett's esophagus that is best and has fewest side effects?

Barrett's risk & tx: Barrett's epithelium replaces the part of your esophagus that is damaged by reflux. Yearly risk of barrett's tissue turning into cancer is low, but roughly 65x likelier than in patients without barrett's. Prevention & early detection is key, & treatment of gerd is important in patients predisposed by longstanding reflux. Dysplasia in barrett's needs close follow-up, can be endoscopically destroyed. ...Read more

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What's the best treatment for barretts esophagus?

Barrett's: Treatment largely focuses on changes to diet and continued monitoring. ...Read more

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I have barretts syndrome how did I get it?

I have barretts syndrome how did I get it?

Reflux: Barrett's is a response to chronic reflux of stomach content; not entirely known if it is due to acid, bile, enzymes, other. Not everyone with chronic reflux gets barrett's changes in esoph; cells look like normal stomach and intestinal cells (except not in intestine), less resistant to effects of refluxed stuff; become more damaged, abnormal, down the road to ca in minority. Freq. Endoscopy, rx. ...Read more

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If I have Barretts at 32 yr old how long can I live with it?

If I have Barretts at 32 yr old how long can I live with it?

Need: Survillance endoscopy 3 to 5 years Follow standard GERD precautions. Take proton pump inhibitors as prescribed. Disease history is variable. ...Read more

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What's eagle-barrett syndrome?

What's eagle-barrett syndrome?

Congenital syndrome: 'prune belly' syndrome is a congenital disorder of the urinary system, characterized by a triad of symptoms: (no abdomen wall muscles, bladder dysfunction, undesc. Testes)
the syndrome is named for the mass of wrinkled skin that is often present on the abdomen. Prune belly syndrome is a rare, genetic, birth defect affecting about 1 in 40, 000 births.[1] about 97% of those affected are male. ...Read more

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Diagnosis of eagle barrett syndrome.?

Diagnosis of eagle barrett syndrome.?

Prune-belly syndrome: Prune-belly or eagle-barrett syndrome is a rare form of fetal obstructive uropathy with reported incidence of 1:20, 000-1:50, 000 births. No definite genetic etiology has been determined, although seen 95% in male fetuses. 10% of affected cases have cardiac defects as well. Many affected individuals perish perinatally from lung hypoplasia and kidney failure - not always lethal, though. ...Read more

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Does hydrocele cause a man to be barrett if not treated?

Does hydrocele cause a man to be barrett if not treated?

No: You probably mean barren (inability to have children). No hydroceles do not result in infertility. ...Read more

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Is there an operation for barretts syndrome besides halo?

Yes: Nissen fundoplication and esophagectomy are 2 other options but both are much more invasive than the endoscopic ablation technique that you mentioned. ...Read more

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Can slippery elm help to heal the oesophegus. I have Barretts.

Barrett’s.: Being. The traditional doctor that I am, I cannot support attempting to heal the known precancerous condition of Barrett’s esophagus with such means. Precancerous things have the real potential to become cancerous things. Barrett’s esophagus requires treatment and surveillance endoscopic evaluations coordinated by a Gastroenterologist. ...Read more

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What can I do or avoid to stop Barrett's Esophegus getting any worse?

Barrett's: Most doctors would recommend a proton pump inhibitor (PPI) such as omeprazole to block the acid production. I would consult a gastroenterologist. ...Read more

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What are the chances of a false positive Barretts? I have read it's possible

What are the chances of a false positive Barretts? I have read it's possible

False positkive: All tests have false + & false negatives. And the implication 4 u as individual depends on prior probability of u having BARRETT's. I assume u mean esophagus. So you need to ask ur team: For the test used what is sensitivity (true+ in disease) & specificity (true - when no disease). & what they think the prob of u having B b4 testing. Wikipedia revues sensitivity etc of testing. Good testing! ...Read more

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I'm so anxious about being told I have Barretts. Feel like I have a terminal illness and it's only a matter of time. Please help! ?

Not true: This related to the acid reflux you have into your esophagus. There is treatment if you have not been taking this. You will need surveillance for this however you are not dying so : Watch what you eat, stop smoking if you do, reduce or stop the alcohol, reduce the caffeine and follow the docs instruction.
Best wishes ...Read more

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If dr said" Surprised report came back as Barretts b/c it didn't look like it" is that good news? Dr said path could have "over read" specimen and it B

Innocent comment: The pathologist's diagnosis is the final say in any abnormality that is being biopsied (clinicians may suspect something but won't know for sure until the biopsy is read by a pathologist). Your physician can always call the pathologist and discuss his concern, including a request for a second pathologist's opinion ...Read more

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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

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Describe the features of barrett's esophagus.?

Describe the features of barrett's esophagus.?

Change in lining: Barrett's esophagus is when there is irritation to the area between the esophagus and stomach, causing the cells there to change from one form to another. The reason this is important is because the changed cells have a relatively high (compared to normal people) chance to progress to cancer. You would need endoscopy to find and treat this condition. ...Read more

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What symptoms make you think of barrett's esophagus?

Don't wait for sxs: Barrett's epithelium occurs as a terminal event in those with chronic gerd, but gerd symptoms may be mild or absent. Don't wait to feel sick since barrett's leads to esophagus cancer. 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 more

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When a man has barrett's esophagus, what does it mean?

When a man has barrett's esophagus, what does it mean?

Gastric reflux: Man or woman, barrett's esophagus results from damage to the lining of the esophagus due to backing up of stomach acid and enzymes. It often causes heartburn and may lead to ulceration, bleeding, scarring and with time may be cancer. Initial treatment is usually with antacids, but surgery may be needed. ...Read more

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Can a special diets reduce barrett's esophagus symptoms?

Can a special diets reduce barrett's esophagus symptoms?

Sort of: Batretts esophagus is an asymptomatic disease caused by reflux. Barretts in itself may reduce reflux symptoms a bit but is a precancerous condition. Dietary modifications which help reflux symptoms include eating smaller meals, avoiding late meals, avoid caffeine, nicotine, peppermint, chocolate, spicy foods, tomatoes and tomato sauce. ...Read more

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What is the definition or description of: barrett esophagus?

Lining change. ..: 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 cancer is somewhat low. ...Read more

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Do I HAVE to take PPI for Barrett's or can it be diet controlled?

Do I HAVE to take PPI for Barrett's or can it be diet controlled?

Need PPI!!: Barrett's esophagus is a precancerous condition, remember. It must not be taken lightly. It requires strong medications and regular surveillance EGDs. ...Read more

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Just diagnosed with barrett esophagus does it mean I have precancerous?

Just diagnosed with barrett esophagus does it mean I have precancerous?

New dx of Barrett's: 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 more

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How long is the average that a person can live with Barrett's esophagus?

How long is the average that a person can live with Barrett's esophagus?

Barrett's not cancer: You have to remember that Barrett's esophagus is not cancer. It's a precursor to cancer, and if left untreated will become cancer, but it's not cancer. So, if you go for your endoscopies regularly and get the areas of Barrett's treated adequately and completely when they appear, it should not affect your life expectancy. ...Read more

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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

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If Barrett's at 31 yo, mild- short segment- is it possible it will never change? Take nexium (esomeprazole) 40mg 2x daily

Seek treatment.: A randomized controlled prospective clinical trial published in JAMA in 2014 shows that Radiofrequency ablation reduces the chance of neoplastic progression to cancer by 25% for patients with low grade dysplasia when compared with endoscopic surveillance. Your specialist will help you make the decision whether it is necessary. More trials are needed for short segment disease with mild dysplasia. ...Read more

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Found out I have barretts. Its not cancer yet. Can I heal from this or will I always have this? I'm so worried. Is there something I can do?

Found out I have barretts. Its not cancer yet. Can I heal from this or will I always have this? I'm so worried. Is there something I can do?

You need to: Get a better explaantion from your doctor. Ask about "dysplasia", when should I be re-checked?, is there a chance that cancer will develop soon?, is there any reason to act now? Without dysplasia, there is no reason to worry. Re-endoscopy 6-12 months, if still no dysplasia, but barrett's persist, you can still watch. Some use proton pump inhibitors, and some ablative procedures. Ask your doc! ...Read more

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1month ago test showed barretts was present. Just had a egd done and it showed none, what happen? Is this possible? What do I need to ask the dr?

Barretts esophagus: What treatment did u receive following DX of barretts? Antacid? Acid blocker like zantac (ranitidine) or prilosec? If treated with proton pump inhibitor like Prilosec or prevacid, med may have helped heal condition. If no treatment was given, then possible one of 2 diagnoses incorrect. Ask doc to compare tests. ...Read more

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I have had acid reflux nearly 4 years now. It is clearing up slowly. My question, how long should it take the barrett's syndrome damage to heal up.

I have had acid reflux nearly 4 years now. It is clearing up slowly. My question, how long should it take the barrett's syndrome damage to heal up.

Maybe never: Once barrets disease is found, it is rare to reverse. However, proton pump inhibiitors like Omeprazole and Nexium (esomeprazole) may delay progression of barrets disease to esophageal cancer. Rf ablation can be used to destroy barrets tissue. ...Read more