7 doctors weighed in:

How is barrett's esophagus typically treated?

7 doctors weighed in
Dr. Arthur Heller
Internal Medicine - Gastroenterology
4 doctors agree

In brief: 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.

In brief: 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.
Dr. Arthur Heller
Dr. Arthur Heller
Thank
Dr. Dean Giannone
Internal Medicine

In brief: 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.

In brief: 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.
Dr. Dean Giannone
Dr. Dean Giannone
Thank
Dr. Mary Maluccio
Surgery - Oncology

In brief: Depends

Barrett's esophagus is a continuum from mild atypia to highly abnormal or precancerous.
If you have barrett's changes at 29, it is most likley from reflux and an antireflux procedure may be necessary to control the irritation to the lower esophagus. You need to be followed closely by a gastroenterologist.

In brief: Depends

Barrett's esophagus is a continuum from mild atypia to highly abnormal or precancerous.
If you have barrett's changes at 29, it is most likley from reflux and an antireflux procedure may be necessary to control the irritation to the lower esophagus. You need to be followed closely by a gastroenterologist.
Dr. Mary Maluccio
Dr. Mary Maluccio
Thank
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