HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Barrett's Esophagus?

default
Posted on Fri, 6 Jun 2014
Question: I have barrets esphogus ...what does that mean they also took biopsy from my right side
and recently had a endoscopy and they found flem around the esphogus
doctor
Answered by Dr. Enrique Molina (29 minutes later)
Brief Answer:
pre-cancer

Detailed Answer:
it is a disease of the esophagus, in which the cell lining of the esophagus changes usually in response to longstanding acid reflux from the stomach up into the esophagus. The cells of the esophagus changes and resembles the small intestine cells, which is abnormal to be seen up there in the esophagus.
The problem with Barrett's is that you can develop atypical cells, which is called "dysplasia", and this can then transform into cancer (adenocarcinoma of the esophagus). The risk of cancer overall is very low, but nevertheless is much higher in a person with Barrett's compared to somebody without Barrett's esophagus.
You would <0.5 to 1% chance of having cancer in the future, however depending on how atypical (if any) were your cells in the esophagus, you will need routine check ups (the endoscopies may be needed as soon as every 6 months to 1 year, to up to every 5 years).
It is recommended to take anti reflux medications (such as proton pump inhibitors), lose weight, avoid alcohol and smoking.
If atypical cells are ever found, the disease is easily treatable endoscopically (with radiofrenquency ablation), as long as it doesn't turn into cancer.
Let me know if you have further questions
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Enrique Molina

Internal Medicine Specialist

Practicing since :2004

Answered : 364 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Barrett's Esophagus?

Brief Answer: pre-cancer Detailed Answer: it is a disease of the esophagus, in which the cell lining of the esophagus changes usually in response to longstanding acid reflux from the stomach up into the esophagus. The cells of the esophagus changes and resembles the small intestine cells, which is abnormal to be seen up there in the esophagus. The problem with Barrett's is that you can develop atypical cells, which is called "dysplasia", and this can then transform into cancer (adenocarcinoma of the esophagus). The risk of cancer overall is very low, but nevertheless is much higher in a person with Barrett's compared to somebody without Barrett's esophagus. You would <0.5 to 1% chance of having cancer in the future, however depending on how atypical (if any) were your cells in the esophagus, you will need routine check ups (the endoscopies may be needed as soon as every 6 months to 1 year, to up to every 5 years). It is recommended to take anti reflux medications (such as proton pump inhibitors), lose weight, avoid alcohol and smoking. If atypical cells are ever found, the disease is easily treatable endoscopically (with radiofrenquency ablation), as long as it doesn't turn into cancer. Let me know if you have further questions