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Suggest Treatment For Barrett's Esophagus

Posted on Sat, 9 May 2015

Question: I have barrett's esophagus, i am attaching the biospy and endoscopy reports. i want to know whether it is short segment of barretts or long segment of barretts. is it initial stage of barretts.

Answered by Dr. Dr.P.Ratnakar Kini (6 hours later)

Brief Answer:
Long segment Barrett's esophagus

Detailed Answer:
Hi,
Thanks for posting your query.
I went through the reports.
You have long segment Barrett's esophagus.
Your biopsy report says you have simple Barrett's esophagus without dysplasia.This is an early stage of Barrett's esophagus.

You can repeat the biopsy to confirm it.
If the repeat biopsy also does not show any dysplasia , follow up every 3 years is suggested.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Dr.P.Ratnakar Kini (12 minutes later)

Thanks doctor,
What are precautions we need to take to prevent Barretts to grow and how many years it takes to develop dysplasia. I don't have symptoms. What are causes for Barretts

Answered by Dr. Dr.P.Ratnakar Kini (23 hours later)

Brief Answer:
Prevention of reflux

Detailed Answer:
Hi,
Barrett's esophagus is a complication of long standing reflux.
Worsening can be prevented with control of reflux with medications that prevent reflux.
Prevention of dysplasia is still an unresolved issue and many studies are going on how to prevent dysplasia in Barrett's esophagus.
There is no specific time interval to say how many years it takes to develop dysplasia. It may take even years. Thats why periodic follow up is advised.

Regards,
Dr.R.K.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar