Welcome to BarrettsAdvice.com

This site is dedicated to the discussion of an important medical condition known as Barrett’s esophagus (BE). Generally speaking, the only people that seem to know about Barrett’s are those who have the condition. The truth is anyone suffering from chronic reflux or GERD is at risk for this silent pre-cancerous condition.

Esophageal cancer or adenocarcinoma of the esophagus is one of the fastest growing cancers in the United States and is directly associated with Barrett’s esophagus. Unfortunately, esophageal cancer is rarely detected in early stages and can lead to significant morbidity and mortality. It is clearly a condition to be prevented if at all possible.

 It is estimated that up to 20% of the US population suffers from heartburn symptoms and that several million Americans have Barrett’s. Barrett’s esophagus results from a series of molecular mutations in the lining of the lower esophagus caused by acid reflux. Acid, pepsin and bile contained within reflux causes damage to the cells lining the esophagus. Injury, inflammation and repair leads to scarring and in some individuals, Barrett’s esophagus. BE seems to be more resistant to the damaging effects of acid injury and may be the body’s attempt to adapt to reflux. Surprisingly, Barrett’s esophagus produces no noticeable symptoms, and quite the opposite, often results in an improvement in heartburn complaints. Ironically, a patient whose heartburn has unexpectedly improved may have developed Barrett’s. 

Individuals with heartburn should understand their need for appropriate medical screening. A common procedure known as "upper endoscopy" or "EGD" is used to directly examine the esophageal lining and is the only way to diagnose this condition. The discovery of Barrett’s esophagus is actually a fairly routine occurrence. While most patients are shocked when informed they have Barrett’s esophagus, they are certainly not alone.

So, why this website? Barrett’s esophagus is a tricky disease. It has a low overall risk of becoming cancerous , on the other hand, it is the main risk factor for esophageal cancer - which is on the rise. So what should the average person do? To add to everyone’s frustration…even the doctors are not in agreement on the best way to manage this condition. Individuals with Barrett’s really must do their own homework by getting multiple opinions, researching medical articles, and  following the news. Our goal with this site is to help you with that process by providing a solid review on Barrett’s and also provide a forum for discussion for new developments, as they arise.  

To begin, you need to get a little perspective on Barrett’s. Remember, most individuals with this condition will not develop cancer of the esophagus. So take a deep breath and relax. The next point, you need to find out some details about your case. Ask your doctor two important questions 1) how long is the Barrett’s segment and 2) was dysplasia present on the pathology report and how severe. These are probably the two most important risk factors to predict future development of cancer. We will discus these factors in more detail later, but the general idea is patients with large amounts (long segment) of Barrett’s with presence of severe dysplasia are at high risk for cancer and patients with a short segment and no dysplasia are at much lower risk of a cancer.

Lifestyle and environmental factors may also contribute to esophageal cancer risk. Some of these risk factors can be reduced with appropriate measures such as weight loss, exercise, proper diet, and possibly vitamin supplements. Controlling chronic heartburn / GERD (gastro esophageal reflux disease) is also very important since it is the primary cause of Barrett’s esophagus. Uncontrolled reflux may result in higher cancer risk. What are the dangers of anti acids? We will discuss the issues later on , as well.

Finally, It is also important for you to know there are different strategies in managing Barrett’s esophagus. A more traditional approach, also known as "endoscopic surveillance" relies on periodic check ups with upper endoscopy and taking biopsies of the esophageal lining.  In this surveillance or traditional approach to Barrett’s, treatment (surgery) is only recommended after cancerous changes appear within the Barrett’s. However, an alternative to the traditional approach is the "early treatment" strategy and involves removal of the abnormal Barrett’s lining before cancerous changes have occurred. There are new techniques such as "endoscopic ablation" ( cryoablation and radiofrequency ablation)and endoscopic surgery (EMR) which provide an interesting option well suited for patients uncomfortable with the idea of "following" their Barrett’s. Although endoscopic ablation is a relatively new technology, early reports from doctors and patients have been very encouraging. News reports and media attention are thankfully raising awareness of Barrett’s and new technologies to treat this condition should continue to improve in their effectiveness.

Be prepared for conflicting medical opinions regarding Barrett’s management. Many physicians will argue for the more established "traditional" approach to Barrett’s and oppose early treatment, while others feel just as strongly about early removal of Barrett’s with endoscopic ablation. In the end, the decision is yours and should be based on a good understanding of the advantages and disadvantages associated with each strategy. 

In summary, we hope this site helps provide much needed information as you research Barrett’s esophagus. We plan to post new topics for discussion in the Discussion Forum. Feel free to communicate and share experiences in this area or in the Community Room. We have provided some video and photos to this site to help with your education and will plan to have a section for interesting cases from our patients. 

Finally, this site is only a resource, it is not meant to replace the advice of your own doctor. Always review any medical information found on this site with your personal physician. 

Best of Health                                                                                                   

William D. Lyday, MD
                                                                     

 

 

 

 


 

• • •
Legal & Privacy Policy

All BarrettsAdvice.com content is ©2012 by Good Salud LLC. All rights reserved.
Website by Art on Disk Webmasters
zovirax 800 mg posologia prednisone 40mg daily khasiat cialis 20 mg par generic wellbutrin cheapest regalis viagra cheapest 20 mg cialis buy cheap erythromycin propecia buy singapore zithromax chlamydia 500mg preisvergleich levitra 20 mg 12 cialis 20 mg. india generic cialis strips nexium online sale buying viagra cuba strattera mg 60 nexium 40 mg posologie phenergan dosage 50 mg lasix 20 mg tab buy 5 mg prednisone lisinopril 10 mg used kamagra cheap online viagra 50 mg vs 100 prednisone ten mg online viagra health zoloft 30mg zoloft 100mg reviews salzarex generic cialis diabetes metformin 500 mg fake viagra online clomid 50mg europe switching synthroid generic buy hydrochlorothiazide 25 mg amoxil 1mg tablets strattera 60 mg online remedio generic viagra ritemed metformin 500 mg viagra buy thailand 500mg doxycycline dosage lasix 80 mg ivp cialis generic tadalafil order propecia cod propranolol hct 80 25 mg prednisone buy canada clomid 100mg bijsluiter levitra generic viagra zovirax online price lisinopril 40 mg mylan prednisone 20 mg interactions lisinopril hctz 5 12.5 mg metformin 500 mg prospect augmentin 250 mg zawiesina viagra condom buy buy priligy safe generic cialis sverige generic viagra sydney lexapro generic oval generic viagra rosebud priligy 30mg viagra 25mg online viagra revieves online buy viagra walgreen cheapest pharmacy viagra 40 mg. levitra generic cialis 10 pack lexapro generic antidepressants cialis 36 hr 20 mg cialis 20mgram .05 mg synthroid generic viagra rx augmentin 500mg dosage prednisone 20 mg sinusitis cialis 5mg ara generic cialis for 1.00 cialis 5mg cheapest cheap cialis 5 mg generic valtrex philippines bactrim ds 50 mg cialis doses 10 mg viagra online fda propranolol 10 40 mg propecia generic wiki doxycycline 20mg tab 400 mg diflucan cialis 50 mg tadilalaf synthroid 175 mg lexapro 5mg forest cialis 40 mg buy cialis tabs 5mg order viagra generic augmentin 500 mg dawkowanie generic levitra de nexium 10 mg diluye celebrex 200 mg tab generic viagra coupons buy hydrochlorothiazide online cheap viagra singles generic brand cialis 50 or 100 mg zoloft clomid 100mg chances nolvadex online kopen buy viagra yahoo cialis 20 mg effectiveness harga doxycycline 100 mg buy indian clomid wellbutrin 300 mg beipackzettel prednisone 10mg alcohol real viagra cheap prednisone steroid 20mg cialis 5 mg diarrhea generic kamagra buy 150 mg de viagra zithromax 200 mg 5 cc cipro 500 mg tablet buy nolvadex gynecomastia harga cytotec generic prednisone 20 mg daily generic valtrex buy cialis 5mg women metformin biomo 1000 mg valtrex caplets 500mg cialis 20mg .ch lisinopril 20 mg preis strattera mg dosage cheapest cialis 5mg le cialis 5mg medicamento levitra 10 mg propranolol nome generico cheap tadalafil cialis hydrochlorothiazide 50 mg dosage male clomid online viagra purchase generic lexapro 10 mg celexa 10mg levitra benefits levitra 20 mg n3 zoloft 100 mg cost viagra 100 mg romania strattera generic dose viagra romania buy diflucan 100 mg generic viagra mg difference propranolol 40 mg surdosage celebrex capsule 200 mg propranolol dak 10 mg nolvadex generic cheap doxycycline 100 mg nedir paypal viagra generic prednisone tablet 5443 50mg buy kamagra prague types cialis online buy clomid clomiphene xenical comprar generico zithromax 1000 mg europe kamagra viagra cheap cialis 5 mg 28 tbl buying viagra inline cheapest propecia finasteride cialis order australia propranolol 10 mg indicaciones prednisone 10mg pack 32 buy clomid ebay 50 propranolol hcl 10mg doxycycline buy now cialis 20mg canada prednisone 10 mg take hydrochlorothiazide usp 25 mg nexium 20 mg preis cialis 10 mg 2013 lexapro vs generic 2012 buy doxycycline 150 mg xenical 60 capsules online celebrex 100mg image viagra generic wiki 5 mg propecia generic cheapest femail viagra clomid buy clomid cialis 10mg bestellen doxycycline monohydrate buy cialis 5 mg opiniones lasix 12.5mg cost zithromax 250 mg 3 pack buy kamagra ue zithromax 500 mg bijsluiter viagra netherlands buy buy generic amoxil buy cheap priligy cheap viagra uks viagra 50 mg efectos buy kamagra 200mg take 2 10 mg levitra cialis original 10 mg prednisone 80 mg d xenical capsule online phenergan 10mg wiki zithromax dogs buy lexapro 5 or 10 mg cheap viagra sachets use viagra 50 mg viagra dose 120 mg buying viagra hongkong xenical 120 mg alcohol cialis 100 mg 20mg doxycycline tablets 500mg 40 mg cialis price cialis 5mg 30 day periactin cyproheptadine 4mg zovirax generic cost online viagra london levitra 20 mg kullanimi dapoxetine buy china cialis 5mg prezzo cheapest cialis doxycycline 500mg buying propecia 1 mg generic 100 clomid 100 online generic levitra 517 levitra 10 mg indicazioni cheap augmentin online bulk buy viagra generic brand levitra reichen 50 mg viagra viagra 50mg dosage cialis 5mg tschechien viagra online netherlands wellbutrin generic bad amoxil 250 mg dosage viagra sydney buy cialis 0.5mg efecto ordering lisinopril online le cialis 10mg 150 mg red viagra wellbutrin generic equivalent 5 or 1 mg propecia nexium 20 mg prijs wellbutrin buy canada online cheap viagra metformin 500 mg od brand cialis 10 mgm cheapest kamagra fast generic stats viagra augmentin 750mg viagra online cheapest powder zithromax 300 mg trust generic cialis nexium 40mg n28 augmentin dosage mg viagra generico rischi cheapest valtrex 500mg buy lexapro overnight propecia 5mg generic viagra generico strattera 18 mg pill zithromax 500mg filmtabletten lexapro bipolar disorder zoloft 200 mg dosage erythromycin stearate 250mg cialis prescribtion online clomid generic brand propranolol anxiety 80mg cheap viagra ca wellbutrin 300 online cialis 5mgm prices bula nexium 20 mg topills generic levitra levitra 40 mg danger viagra mg at lexapro 20 mg snort generic synthroid cost diflucan 150mg used cheap viagra usa cheapest generic wellbutrin lexapro for cheap nolvadex 10 mg tablet medicament augmentin 500mg lexapro 10mg dosage generic wellbutrin anger propecia online prices clomid 100 mg statistics metformin hcl 250 mg buy zithromax suspension wellbutrin generic ineffective cheap viagra medication levitra original 10 mg gbl viagra order generic cialis 10 omg cialis tijuana 10mg simge viagra valtrex generic alternative non generic lexapro buy cheap nexium propranolol 20 a 40 mg cialis 20mg almanya viagra 25mg uk order cheap diflucan doxycycline 800 mg much viagra online doxycycline generic names apa nexium 20mg generic viagra 50mg cialis 5mg dosierung lexapro 40mg clomid 100mg ovulation augmentin 875 mg tab generic cialis online diflucan 250mg once xenical 120mg turkey doxycycline 200 mg iv cheap viagra index 600 mgm viagra cheap 50 mg viagra propecia generic patent wirkung viagra 50 mg 30mg liquid cialis who buys viagra nolvadex 10 mg ginecomastia levitra 20 mg instructions amoxil 500 mg capsules cheapest 800mg cialis synthroid . 15 mg levitra 20mg fta 12 generic metformin problems buy viagra dropship cialis 200 mg generic cialis acne propranolol clorhidrato 10 mg order cytotec online diflucan buy paypal viagra cheap store synthroid generic names 60mg strattera alcohol celebrex mg 200 buy sydney viagra clomid 50mg comprar synthroid and generics 20mg lexapro price levitra versus generic clomid 75 mg dose forum generic viagra strattera generic drug kamagra soft 100 mg synthroid 50mg lasix 40 mg bodybuilding 50mg zoloft pregnancy cipro tablete 500mg doxycycline cheap buying viagra melbourne uro bactrim mg cialis generico roma 20 mg generic levitra wikipedia viagra online buy periactin tablets buy cialis 50mg 25mg zoloft depression zithromax 1000mg dosis xenical buy uk tabletas lexapro 10 mg phenergan 10mg dose metformin order online generic levitra 20mg viagra cost generic cheap kamagra 50 pills cipro 750 mg bid generic cialis erfahrung cs online viagra lexapro generic price 10 mg cialis generic cialis 20 mg dividere lexapro generics walgreens nolvadex 20mg 40mg levitra soft online cipla cialis 40mg cheap viagra soft lexapro max 40 mg zoloft 50 mg rcp generic for lexapro 2011 pricing lisinopril 20mg ert generic viagra cialis generico opinioni nebenwirkung metformin 850 mg cheap cialis safe priligy online buy generic metformin xr xenical comanda online cipro 500 mg augmentin 400 mg pediatrico cialis online 1.00 viagra generico gratis buy cialis romania doxycycline vibramycin 100 mg experience viagra online split levitra 20mg augmentin 228 mg dosage doxycycline doxin 500mg zovirax 400mg tab online viagra apotheke lisinopril 20 mg qd generic cialis 10 mg cialis generico precio bestel cialis online panic disorder zoloft 15o mg cialis cheapest viagra 150 mg cialis.20mg prices kamagra jelly 5mg 5 mg cialis price fish doxycycline 500mg levitra de 10 mg cialis online apotheek ttc clomid 50mg valtrex 5oo mg buy brand viagra viagra mexico 100mg viagra buy shanghai zovirax 800 mg filmtabletten viagra online 3 days cialis online drugstore comanda online cialis viagra directions 100 mg buy viagra bahamas kegunaan doxycycline 100 mg cialis generico brazil 500mg cipro strep priligy 30mg buy 20mg cialis dangerous viagra 50mg cost viagra buy sweden generic viagra etkisi clomid 25 mg pct viagra 50mg generico bayer levitra 10 mg levitra viagra online cheap zovirax 400 mg 70 mg lexapro nexium packets 10mg citalopram buy online cheap levitra brand wellbutrin sr 150 mg propecia cena 1mg cytotec 200 mg lahore celebrex 100 mgs generic viagra prescription lexapro 20 mg depression generic cialis gelcap augmentin zawiesina 457 mg 5 mg propranolol viagra online srbija viagra 100mg 4 st valtrex 1000 mg online doxycycline eg 200 mg amoxil order online cialis 10mg fta4 nexium generico existe lek propranolol 10 mg cialis 20mg taake 2 400 mg of celebrex prednisone 40 mg constipation cerco viagra generico periactin 4mg maroc mgr. frantisek cipro cialis 2.5 mg tablets generic cialis cheap viagra ireland online clomid cheap online amoxil capsule 500 mg beipackzettel viagra 100mg generic viagra zoll 200mg clomid pct buying diflucan online zovirax cheapest ordering levitra online viagra online vancouver viagra kupiti online cheap nexium online buy cytotec forum lisinopril 20 mg sales cialis 25mgs levitra online philippines purchase augmentin online cialis 5mg tallinna online cialis costco levitra 10 mg generic wellbutrin hcl 75 mg viagra 100 mg canada zovirax online kaufen cialis and andromgel buying viagra men lisinopril 20 mg ivax viagra online billigst synthroid mcg mg zithromax 500 mg fungsinya propranolol hci 10mg generic zoloft pregnancy viagra generico iene lisinopril anxiety disorder cheap kamagra jelly viagra 5 mg mexico levitra online receptfritt buy xenical vs rx viagra 3000mg augmentin 600 mg pediatrico prednisolone 20 mg levofloxacin