Barrett’s Esophagus: Diagnosis and Treatment in Prague

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Barrett’s Esophagus: Diagnosis and Treatment in Prague

Barrett’s esophagus is a condition in which the lining of the esophagus changes, becoming more like the tissue that lines the intestines. This change is thought to occur as a result of chronic exposure to acid reflux, also known as gastroesophageal reflux disease (GERD). Barrett’s esophagus is a serious condition because it can increase the risk of developing esophageal cancer. Early diagnosis and proper treatment are crucial in managing Barrett’s esophagus and reducing the risk of cancer.

Diagnosis of Barrett’s Esophagus

Diagnosing Barrett’s esophagus typically involves an upper endoscopy, also known as an esophagogastroduodenoscopy (EGD). During this procedure, a thin, flexible tube with a camera on the end is inserted through the mouth and into the esophagus. This allows the doctor to visually inspect the lining of the esophagus and take tissue samples, known as biopsies, for further examination.

In some cases, a special type of endoscopy called chromoendoscopy may be used to improve the visualization of the abnormal tissue in the esophagus. This technique involves spraying a special dye onto the lining of the esophagus to help identify areas of concern more easily.

Treatment of Barrett’s Esophagus

The treatment of Barrett’s esophagus aims to prevent the progression of the condition to esophageal cancer. Treatment options may include:

1. Lifestyle changes: Making changes to your diet and lifestyle can help reduce symptoms of acid reflux and prevent further damage to the esophagus. This may include avoiding trigger foods, losing weight, quitting smoking, and elevating the head of the bed while sleeping.

2. Medications: Drugs that decrease the production of stomach acid, such as proton pump inhibitors (PPIs) or H2 receptor antagonists, may be prescribed to help relieve symptoms of acid reflux and reduce inflammation in the esophagus.

3. Endoscopic therapies: In some cases, endoscopic therapies may be recommended to remove abnormal tissue in the esophagus. This may include techniques such as radiofrequency ablation (RFA), photodynamic therapy (PDT), or endoscopic mucosal resection (EMR).

4. Surgery: In rare cases, surgery may be recommended to remove the abnormal tissue in the esophagus or to treat complications such as severe narrowing of the esophagus (stricture) or a precancerous condition known as high-grade dysplasia.

Barrett’s Esophagus FAQs

Q: What are the symptoms of Barrett’s esophagus?
A: Barrett’s esophagus itself does not usually cause symptoms. However, many people with Barrett’s esophagus also have symptoms of acid reflux, such as heartburn, regurgitation, chest pain, or difficulty swallowing.

Q: Who is at risk for Barrett’s esophagus?
A: Barrett’s esophagus is more common in people who have a long history of GERD and chronic acid reflux. Other risk factors may include obesity, smoking, a hiatal hernia, and a family history of Barrett’s esophagus or esophageal cancer.

Q: Can Barrett’s esophagus be cured?
A: Barrett’s esophagus cannot be cured, but treatment can help manage the condition and reduce the risk of developing esophageal cancer. Regular monitoring and follow-up with a healthcare provider are important for managing Barrett’s esophagus.

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