Symptoms
- Often no direct symptoms beyond those of GERD
- Chronic heartburn or regurgitation is the most common context
Possible causes
- Long-standing gastroesophageal reflux disease
- Male sex, older age, central obesity, tobacco use, family history
Upper GI
Barrett's Esophagus
Barrett's esophagus is a change in the lining of the esophagus caused by long-standing acid reflux. It slightly increases the risk of esophageal cancer, which is why surveillance is important.
How we diagnose
- Upper endoscopy with targeted biopsies
- Histologic confirmation and dysplasia grading
Treatment options
- Aggressive control of acid reflux
- Endoscopic surveillance at intervals based on dysplasia grade
- Endoscopic eradication therapies (RFA, EMR) for dysplasia
Lifestyle & prevention
- Weight management and reflux precautions
- Smoking cessation and alcohol moderation
- Adherence to surveillance schedule