Barrett's Esophagus

Barrett's esophagus is a gastrointestinal illness where the lining of the esophagus is harmed by the acid created in the stomach that refluxes back up to the esophagus. Surgery to remove a portion of the esophagus may be suggested, if a biopsy determines cell changes could to lead to cancer.

Normal Esophagus ----------- Barrett's Esophagus

The photograph on the left is what a normal esophagus is supposed to look like. The photograph on the right is a highly ulcerated esophagus whose medical name is Barrett's Esophagus. It is caused by damage from chronic acid exposure, or reflux esophagitis and is found in 5% to15% of patients who seek medical care for heartburn.

It is considered to be a premalignant condition because it is associated with an increased risk of esophageal cancer. Treatment options for high-grade dysplasia include surgical removal of the esophagus (esophagectomy) or endoscopic treatments such as endoscopic mucosal resection or ablation (destruction).

Treatment Options

Lifestyle Changes

Dietary Adjustments to an "Acid Reflux Diet"

Eliminating alcohol and tobacco

Do not lie down after meals

Lose excess weight

Sleeping with the head of the bed elevated

Medications

Antacids after meals and at bedtime

Cholinergic agents

Histamine H2 receptor blockers

Promotility agents