Re: Barrett's Esophagus

Posted By HFHSWM.D.-mz on February 03, 1998 at 08:46:35:

In Reply to: Barrett's Esophagus posted by Candace on January 29, 1998 at 17:30:40:







: Hi!
I have been diagnosed with Barrett's Esophagus and as having a hiatal hernia.  I pretty much have the acid reflux problem under control due to life style changes, but I am wondering if the cell damage done to my esophagus is reversible.  I know this is considered a premalignant condition and would like to know that one day this worry will be gone.
Thank you!



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Dear Candace,
      I assume that your Barretts Esophagus was diagnosed by a test called an endoscopy with biopsy of the esophageal mucosa.  Barretts Esophagus is the result of acid reflux from the stomach into the esophagus, resulting in damage to the lining with replacement of the normal lining by an abnormal cell type.  You are correct that this is a premalignant condition.  Fortunately, few people develop cancer.
      It is controversial whether Barretts esophagus can revert to a normal lining (mucosa). Medical or surgical therapy, however, can heal the esophagitis or acute inflammation. Currently patients with Barretts esophagus are screened by endoscopy and biopsy every 2 years tro verify that there has been no evolution towards malignant change opf the mucosa. Therefore, I would advise you to maintain in contact with your physician.  
You should also be aware that there are new endoscopic treatments to treat these early premalignant chages.  A technique called photodynamic therapy is being investigated to determine its efficiency in the destruction of this abnormal mucosa.
      The response in being provided for general informational purposes only and should not be considered medical advice or consultation.  Always check with your personal physician when you have a question pertaining to your health.
      If you would like to be seen at our institution, call 1-800-653-6568 and make an appointment to see Dr. Zonca, one of our experts in the treatment of esophageal disease and Barretts esophagus.
keywords: esophagitis, barretts esophagus, esophageal cancer
HFHSM.D.-mz
0.5.