GERD (Acid Reflux) Community
Barretts or not?
About This Community:

This forum is for questions and support regarding Gastroesophageal Reflux Disease (GERD) / Acid Reflux with topics including: Causes, Constipation, Diagnosis, Diarrhea, Drugs and OTC medications, Living with GERD, Loss of Appetite, Preventing Flare-ups, Risk Factors, Symptoms, Support, Surgery, Tests, Treatments.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Barretts or not?

I had my first endoscopy two years ago and my GI suspected Barretts esophagus but the biopsies were negative.  He had me return in a year and the same thing - suspected Barretts,  negative biopsies, return in a year.  So I went for a third time last week and the sme thing happened -- my GI was sure I had Barretts but the biopsies were negative.   He now wants me to return again in a year.

I do have occasional heartburn because I take a lot of ibuprofen for my back, but no big deal.  Do I need to keep going for these?  They stress me out.
8 Comments Post a Comment
Blank
Avatar_n_tn
aare you being treated with a PPI for your heartburn?  Have you had a long history of heartburn?  Just wondering what makes him keep suspecting barrett's----do your biopsies show severe damage from reflux?
Blank
329165_tn?1385201516
If you have had negative biopsies but GI can see Barrets during Endoscopy, it might just mean that the cells that were taken during the biopsies were not Barrets cells as then it is possible for Pathologists to miss this.

The protocol for Barrets surveillance (no dysplasia) is every 3 years.  Only once there are signs of dysplasia (cancer stages) then you need to go for annual scopes and then it increases to 6 monthly if there are activity.

Every Endoscopy carries a risk and should not be done if it is not necessary.
Blank
Avatar_f_tn
I had the first one because I had some unexplained bleeding which turned out never to be resolved but didn't recur.  GI said it looked like Barretts so he had me come back the following two years.  
Blank
Avatar_f_tn
Thank you...I certainly didn't ask to go back, he just told me to come back because he didn't like what he saw and he wanted to make sure it didn't change.   I would think with negative biopsies for three scopes that should be enough, but GI says return in a year.
Blank
Avatar_n_tn
are your biopsies positive for esophagitis?  have you considered seeing a different GI?
Blank
Avatar_f_tn
As far as I know my biopsies have been negative for anything...but I haven't actually seen them.  I really like my GI, why would you suggest a different one out of curiosity?
Blank
63984_tn?1385441539
I'm not a health professional so do take my post with a grain of salt, but I'm wondering if there is some confusion between Barrett's Esophagus and an active cancer.
Barrett's Esophagus is seen as a change in the cells of the esophagus, as I understand it the cells start to LOOK like the cells lower in the digestive system.  They are pre-cancerous, meaning that the esophagus COULD develop cancer, and does so in about 4% of people who present with this symptom during an Endoscopy.  A biopsie would confirm that Barrett's Esophagus did turn into an active cancer.  
I have Barrett's Esophagus and had successful surgery to stop the advancement of the condition, but have yearly Endoscopies to see if the condition is advancing (it's retreating).  
I'd not worry about cancer, but would concern myself with controlling the cause of acid reflux so you don't develop cancer.  Hope that helps.
Blank
Avatar_n_tn
If your biopsies are negative for anything--then your doctor is really jumping the gun to think you have barrett's and wanting to scope you every year.

You have to have some pretty severe reflux esophagitis before you are going to get barrett's.

Ask your doctor for the pathology reports and for the surgical report and see for your self what they really say.  He may be putting you through unnecessary procedures for no good reason.  You really don't want unnecessary surgical procedures if there is a good reason to warrant them.

Does he have you on a PPI such as prevacid or protonix?
Blank
Post a Comment
To
MedHelp Health Answers
Blank
Gastro Tracker
Gastro
Start Tracking Now
Recent Activity
620923_tn?1405964489
Blank
selmaS commented on soccero's status
9 hrs ago
6530778_tn?1396763315
Blank
Irisbritney I enjoy helping others like... Comment
18 hrs ago
Avatar_m_tn
Blank
keltan commented on Attention All Mouth B...
Aug 22
Top Digestive Answerers
620923_tn?1405964489
Blank
selmaS
Allentown, PA
168348_tn?1379360675
Blank
ChitChatNine
63984_tn?1385441539
Blank
Flycaster305
97303, OR
974371_tn?1364538460
Blank
Margot49
Central Valley, CA
Avatar_m_tn
Blank
me_just34
Avatar_m_tn
Blank
jimgreg
piqua, OH
GERD (Acid Reflux) Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank
Top Digestive Answerers
620923_tn?1405964489
Blank
selmaS
Allentown, PA
168348_tn?1379360675
Blank
ChitChatNine
63984_tn?1385441539
Blank
Flycaster305
97303, OR
974371_tn?1364538460
Blank
Margot49
Central Valley, CA
Avatar_m_tn
Blank
me_just34
Avatar_m_tn
Blank
jimgreg
piqua, OH