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Get the Facts About Barrett’s Esophagus

Barrett’s esophagus is a condition of the esophagus. The esophagus is a muscular tube that connects the stomach and the mouth. Barrett’s esophagus is described as a change in tissue cells in the esophagus that more closely resembles that of the intestine. This condition is known to have no symptoms or signs, but is often seen in acid reflux disease and gastroesophageal reflux disease, commonly known as GERD. This disease affects about 1% of people in the United States. A small proportion leads to the development of fatal esophageal cancer. Determining the onset of the condition can be difficult, but the average age of diagnosis is 50 years. Most doctors recommend that patients over the age of 40 who have gastroesophageal reflux disease (GERD) be screened for Barrett’s esophagus.

Each year, 1% of people with Barrett’s esophagus develop esophageal cancer, called esophageal adenocarcinoma. Unfortunately, adenocarcinoma of the esophagus is not often detected and diagnosed until late, when it can be difficult to treat. If you have Barrett’s esophagus, it may take several years before any esophageal cancer develops. The test is performed by performing an upper gastrointestinal (GI) endoscopy to obtain a biopsy of the esophagus. The patient is sedated. The doctor inserts a flexible tube called an endoscope into the patient, which has a light and camera down the esophagus. If suspicious tissue is detected, the doctor will remove several small pieces of tissue using a pincher-type device that passes through the endoscope. A pathologist examines tissue samples under a microscope to make a diagnosis. Precancerous cells in the esophagus, called dysplasia, are hard to find and require multiple biopsies to make sure nothing is missed.

Barrett’s esophagus biopsies are reported as negative, indeterminate, low-grade, or high-grade dysplasia readings. Terms such as mild dysplasia and severe dysplasia are no longer widely accepted by gastrointestinal pathologists.

The cause of Barrett’s esophagus is unknown, but gastroesophageal reflux disease is considered a risk factor. However, people who do not have GERD can still develop the condition. People with GERD are 3 to 5 times more likely to develop Barrett’s esophagus than those without. Because it is common in patients with GERD, natural remedies should be used to successfully treat the symptoms of GERD and acid reflux. A GERD diet of low-acid foods and natural GERD remedies will help you feel better quickly.

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