Aa
A
A
Close
Avatar universal
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.
Cancel
8 Answers
Page 1 of 1
Avatar universal
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?
Comment
Cancel
Avatar universal
Comment
Comment
Submit Comment
329165 tn?1443506417
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.
Comment
Cancel
329165 tn?1443506417
Comment
Comment
Submit Comment
Avatar universal
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.  
Comment
Cancel
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
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.
Comment
Cancel
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
are your biopsies positive for esophagitis?  have you considered seeing a different GI?
Comment
Cancel
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
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?
Comment
Cancel
Avatar universal
Comment
Comment
Submit Comment
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.
Comment
Cancel
63984 tn?1385441539
Comment
Comment
Submit Comment
Avatar universal
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?
Comment
Cancel
Avatar universal
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Blank
Gastro Tracker
Gastro
Start Tracking Now
Recent Activity
1236893 tn?1408490528
Blank
Best Multivitamins for Men
8 hrs ago by gymdandee
1236893 tn?1408490528
Blank
Medium-chain triglycerides
12 hrs ago by gymdandee
4705307 tn?1447973922
Blank
timothy141 Amassing and amazing, to se... Comment
May 23
Top Digestive Answerers
620923 tn?1452919248
Blank
selmaS
Allentown, PA
1340994 tn?1374197577
Blank
Caryopteris
Raleigh, NC
168348 tn?1379360675
Blank
ChitChatNine
144586 tn?1284669764
Blank
caregiver222
Avatar m tn
Blank
me_just34
1530171 tn?1448133193
Blank
TheLightSeeker
London, ON
GERD (Acid Reflux) Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1463449675
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Digestive Answerers
620923 tn?1452919248
Blank
selmaS
Allentown, PA
1340994 tn?1374197577
Blank
Caryopteris
Raleigh, NC
168348 tn?1379360675
Blank
ChitChatNine
144586 tn?1284669764
Blank
caregiver222
Avatar m tn
Blank
me_just34
1530171 tn?1448133193
Blank
TheLightSeeker
London, ON