Barrett's Esophagus - Is MONITORING for Esophageal Cancer Worth the Risk?
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- čas přidán 5. 09. 2022
- Do you have Barrett's Esophagus and wonder if getting repeat endoscopies to monitor for Esophageal Cancer is worth the time, cost, and risk? If so, you have come to the right video!
In this video, I discuss that while the most concerning complication of Barrett's Esophagus is Esophagaeal Cancer, it remains relatively uncommon on a yearly basis and how to consider the risk of getting it. Additionally, I talk about competing risks common to Barrett's Esophagus, what is generally recommended to prevent Barrett's Esophagus from turning into Esophageal Cancer, is the surveillance recommendation effective, and why people choose not to monitor Barrett's Esophagus with repeat endoscopies. Finally, I discuss who is most likely and less liekly to benefit from monitoring for Esophageal Cancerand how often the surveilance should occur.
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Be Sure to Check Out Other Relevant Content:
- Barrett's Esophagus: • Barretts Esophagus
DISCLAIMER: While I am a Gastroenterologist, I am not acting as your Gastroenterologist. The information provided on this channel is intended to be general educational content and not directed towards any one individual. If you believe you have a medical condition that deserves attention please seek care from your healthcare provider. If you are experiencing a life threatening emergency, call 911.
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Tyvm! I was just diagnosed and waiting on biopsy results atm. Your video helped me understand this a little bit better and what to look ahead for preventive care.
Thank you needed to here, I have it
Thanks. I’m glad it was helpful.
TY for this info.
You’re welcome. Thanks for the feedback!
Very helpful
Thank you
Thanks for watching!
I'm a British female 31 now diagnosed at 30, I only got diagnosed with Barrets esophagus due to having a endoscopy to check for coeliac disease which I do have and now I have a lot of restrictions with food, drinks, hardly drink alcohol anyway and had to quit vaping so it has been a lot to process recently. I was diagnosed with both conditions this August. I was told that I have no dysplasia and have to have the camera every 3 years unless I have issues then I would be getting it done sooner. So I have agreed to barrets surveillance to keep an eye on the condition. My mum has silent reflux so I don't know if I inherited it from her but I decided to get the one which is precancerous haha. I'm just coming to terms with my health conditions and hope you are all doing well.
Are you taking any kind of medication?
Dr. Cooper, have you heard of EsoGaurd? 5 minute office procedure to catch BE..no endoscopy...no sedation.
I have a Favorites esophageal reflux for 20 years every two years I have met in the scope and always irritation polyps and have a hiatal hernia also have Crohn’s not doing good at this point do an infusion
Hello Dr. Cooper, thanks so much for this informative video. I was being told by my GI, that I have BE nearly a month ago but I think without dysplasia. Earlier on December 2022 I took endoscopic procedure and my GI told me that I got grade A reflux (based on the result) without mentioning BE. I’m 46 Asian women, 110-115 lbs. Never having contact with alcohol and smoking; was in moderately spicy and oily diet before but started to have very modest and plain food now;Prediabetic without medication (my A1c kind of hovering between 5.7 -5.9; on 40 mg Omeprazole (with Rolaids when necessary); still having acidity if not taking any meal within 3 hours. What kind of diet that help to reduce the probability to develop into more serious BE problem?
The bigger things to do to modify the risk of Barrett’s is to abstain from alcohol and there’s also some thought that overly hot beverages and food (coffee and soup) may also be harmful. It’s also very helpful to not smoke (tobacco, vape, marijuana).
I have BE. My father died of this horrible cancer and I was told to come back in 5 years for my next endoscopy.
I’m hopeful your attention to it will help you successfully avoid developing the same cancer.
Is transnasal esophagoscopy a good alternative to endoscopy for monitoring Barrett’s? I was diagnosed with BE 2 years ago, with no dysplasia found. I’m 65, female, never smoked or drank but I’m overweight (working on that). I still have some GERD symptoms, after diet changes. A friend of mine’s esophagus was perforated during an endoscopy, and now I’m terrified of having one!
I believe mine was caused by radiation to the chest for breast cancer 15 years ago?.Would I even be able to get any treatment for esophageal cancer knowing radiation is a one time thing?
Thank you for the video Dr. Cooper! I am diagnosed with long segment BE in 2019 and started 40mg Protonix. Now 4 years later in 2023, I have apparently developed a "small patch" of low-grade dysplasia with "goblet". GI wants to do surveillance every 6 months with an endoscopy. My question is, even if I decide to never have another endoscopy again (my preference), the chances are still low that the "small patch" of my low-grade dysplasia will develop into cancer? Am I correct? I'm nearly 50 and don't smoke, but I have a BMI around 45. We decided to double the dose of Protonix to twice a day.
I think long segment Barrett’s warrants follow up. I don’t think a higher dose is any better than a low dose unless symptoms need better control. Especially with low grade dysplasia there needs to be endoscopic follow up.
@@MarkCooperMD Many thanks Dr. Cooper!
Hi. Dr copper. I was just diagnosed with intestinal metaplasia/ Barrett’s esophagus short segment last year. I also had a gastric sleeve surgery 5 years ago which may have contributed to my acid reflux. My surgeon want to do a gastric revision to a bypass to fix the GERD. It’s scary and kinda drastic in my opinion. My GI doctor wants to monitor and take 40mg protonix and Carafate.
I’m very undecided on what to do. I want surgery because Barrett’s sounds scary turning into cancer. But I also don’t feel I need the rest of the changes to my anatomy with bypass surgery.
Also. My biopsy showed intestinal metaplasia at the GE junction. Not on my esophagus. Is it possible for IM to be reversed? Or that I was misdiagnosed? Nervous and Stressed. Thank you for your time
Any Advance treatment for Barrett’s esophagus (2023)
We will make a Barrett’s treatment video eventually…lots to cover. Thanks for watching!
I found out i have barretts with no dysplasia thankfully but im only 34. A bit terrifying to be honest.
I'm on the same boat as u bud I just found out today I have barretts. Now I'm looking up all these videos smh 🤦
@@chriskisielewski2744 were you a heavy drinker? And do you feel any abdominal pain? The only reason I found mine is because I've had unexplained discomfort/burning in my upper left abdomen for over a year. I quit drinking and am trying to eat better but it pretty much always hurts still. Not quite sure if the pain is actually linked to barrets though.
Do you have acid reflux? Any other symptom?
@Luison40 not really, only sometimes if I eat something bad, but I also have a discomfort almost pain in my upper left abdomen under my ribs.
Why is the non-Dysplasia affects area removed as it is with a pre cancer polyp? I am 47 Hispanic woman with an extensive cancer family history two with stomach and throat cancer I have suffered from pre cancer Polyps for years and they have to be removed every two years now I was diagnosed with BE without dysplasia I will be having a hiatal Hernia and fundoplication surgery in the next few weeks but I am concerned about the medical recommendations around non dysplasia patients..
I’m not sure I follow your initial question. If you’re asking why isn’t all Barrett’s removed it’s because most is so low risk that doing so would not provide any benefit compared to the risk.
How you are managing your pain after ablation procedure? For me it is so painful after having cryo ablation and it is not manageable with any medication last 4 yrs.
@@zackcam26 I am so sorry. That sounds like a lot to deal with. I just got dx'd with BE and am worried about all kinds of things. I hope you are having a restful weekend.
What if he is 35 at finding it. Barretts mucosa.. no dysplasia . He seems even with 2 x PPis not controlling as it should
PPI is not expected to get rid of Barrett’s. It has been shown to reduce progression. The main modifiable risk factors for progression to dysplasia are smoking and being overweight - work on those if they apply.
@@MarkCooperMD thank you
@@catherinewylie6959 I believe the data regarding hot drinks is from Middle Eastern regions and may also reflect other factors such as hookah and extremely hot liquids.
Doctor, why not remove the Barrets immediately, why bother let it sit there and wait?
1 in 200 patients develop cancer sounds pretty high to me.
It’s a high enough risk that we have tried to develop an effective surveillance strategy. But it’s not terribly higher than the annual risk an older man develops colon cancer.