Barrett’s Esophagus Treatment

Advanced Care to Prevent and Manage Precancerous Changes in the Esophagus

What is Barrett’s Esophagus?

Barrett’s Esophagus is a condition where the lining of the esophagus changes due to prolonged exposure to stomach acid, often caused by chronic gastroesophageal reflux disease (GERD). Over time, normal esophageal cells are replaced with abnormal ones, increasing the risk of developing esophageal adenocarcinoma, a type of esophageal cancer.

At Central Gastro, we specialize in early detection and advanced treatments for Barrett’s Esophagus to prevent progression and protect your health.

Symptoms of Barrett’s Esophagus

Barrett’s Esophagus itself does not cause symptoms. However, it often develops in people with chronic GERD. Symptoms to watch for include:

• Frequent Heartburn
• Regurgitation of Food or Acid
• Difficulty Swallowing (Dysphagia)
• Persistent Chest Pain

If you have long-standing GERD or these symptoms, it’s important to get evaluated for Barrett’s Esophagus.

What Causes Barrett’s Esophagus?

Barrett’s Esophagus is caused by repeated acid reflux that damages the esophageal lining, leading to abnormal cell changes. Risk factors include:

• Chronic GERD: Frequent acid reflux over a long period.
• Obesity: Especially abdominal obesity.
• Smoking: A major contributor to esophageal damage.
• Family History: Genetic predisposition to Barrett’s Esophagus or esophageal cancer.
• Age and Gender: More common in individuals over 50 and in men.

Diagnosis of Barrett’s Esophagus

Early diagnosis is crucial to monitor and manage Barrett’s Esophagus effectively. At Central Gastro, we use advanced diagnostic techniques:

• Upper Endoscopy (EGD): Visualizes the esophageal lining and identifies abnormal changes.
• Biopsy: Tissue samples taken during endoscopy confirm the presence of Barrett’s Esophagus and assess the degree of cellular changes.
• Esophageal pH Monitoring: Assesses acid reflux severity.

Treatment Options for Barrett’s Esophagus

At Central Gastro, we offer personalized treatment plans based on the severity of the condition and the presence of dysplasia (precancerous changes):

1. Medications and Lifestyle Changes

• Proton Pump Inhibitors (PPIs): Reduce stomach acid production to prevent further damage.
• Lifestyle Modifications: Weight loss, dietary adjustments, and avoiding trigger foods like caffeine and alcohol.

2. Endoscopic Treatments for Dysplasia

For patients with Barrett’s Esophagus with low-grade or high-grade dysplasia, we offer advanced minimally invasive treatments:

Radiofrequency Ablation (RFA):

• How it Works: Controlled heat energy is used to destroy abnormal cells in the esophagus.
• Ideal For: Patients with low or high-grade dysplasia.
• Benefits: Effective in eradicating dysplasia and reducing cancer risk.

Endoscopic Mucosal Resection (EMR):

• How it Works: Removes larger or deeper areas of abnormal tissue.
• Ideal For: Patients with visible lesions or early-stage cancer.

3. Surveillance and Monitoring

Patients with non-dysplastic Barrett’s Esophagus are monitored regularly with follow-up endoscopies to detect any progression.

4. Surgical Options (in Rare Cases):

In advanced cases, surgery such as esophagectomy (removal of part or all of the esophagus) may be necessary.

Why Early Treatment is Important

Without treatment, Barrett’s Esophagus can progress to high-grade dysplasia or esophageal adenocarcinoma. Early intervention prevents complications, improves outcomes, and reduces the need for invasive procedures.

When to Seek Treatment

If you have chronic GERD, persistent heartburn, or a family history of esophageal cancer, it’s essential to be evaluated for Barrett’s Esophagus. Early diagnosis and management are key to preventing complications.