Barrett's esophagus – Barrett Syndrome

Description of Barrett's esophagus

Barrett's esophagus is a complication of chronic esophagitis, which is inflammation of the esophagus.

Barrett's esophagus is characterized by changing cells, lining the esophagus. Normal cells have a flat shape (ploskokletochnuju), and Barrett's esophagus cells are shaped like columns. This change of cells called metaplaziej. This predrakovaja phase, which if untreated can lead to cancer of the esophagus.

Causes of Barrett's esophagus

The exact cause of Barrett's esophagus is unknown. Nonetheless, disease can occur as a result of damage to the esophagus, caused by chronic reflux of stomach acid. Frequent or chronic reflux of stomach acid into the esophagus is called gastroesophageal reflux disease or GERD.

Risk factors

Factors, increase the likelihood of Barrett's esophagus:

• Chronic heartburn;
• History Of GERD;
• Age: 50 and older;
• Paul: male;
• Hiatal hernia;
• Unhealthy food.

Symptoms of Barrett's esophagus

Although Barrett's esophagus not directly causes symptoms, in people with GERD may occur following:

• Heartburn;
• Chest pain;
• Nausea and vomiting;
• Blood in the vomit or stool;
• Sore throat or a chronic cough;
• Hoarse voice;
• Sour taste in mouth (acid reflux);
• Shortness of breath or wheezing;
• Difficulty or pain when swallowing (dysphagia).

Diagnosis of Barrett's esophagus

The doctor asks about the symptoms and medical history, and performs a physical exam. Tests may include:

• Биопсия – удаление образца ткани из пищевода во время эндоскопии, to check for cancer cells;
• Эндоскопия – тонкую трубку вставляют ​​в горло для изучения пищевода.

Treatment of Barrett's esophagus

After changing the cells as a result of Barrett's esophagus, they acquire a permanent character. The goal of treatment is to prevent further damage by stopping acid reflux from the stomach. Treatment may include:

Medication

Can be assigned to the following types of medicines:

• H 2-blockers, such as:
  • Cimetidine;
  • Ranitidine;
  • Famotidin;
  • Nizatidin;
• Proton pump inhibitors, such as:
  • Omeprazole;
  • Lansoprazole;
  • Pantoprazole;
  • Rabeprazole.

Operation

If the disease has acquired severe form or treatment medications failed, your doctor may recommend surgery. Her options may include:

• Фундопликация – верхнюю часть желудка оборачивают вокруг пищевода; This is done in order to further reduce damage, caused by GERD;
• Delete a segment Barrett's esophagus;
• Удаление аномальной подкладки несколькими методами – фотодинамической терапией, Argon plasma coagulation, multipolar electrocoagulation, using laser, cryotherapy and radiofrequency ablation.

Monitoring

A doctor may recommend endoscopy every 1-3 year for esophageal control on early signs of cancer. This recommendation must be individual for each person.

Prevention of Barrett's esophagus

Лучший способ предотвратить пищевод Барретта – свести к минимуму и/или лечить рефлюкс желудочной кислоты в пищевод, which is usually associated with Gerd. In addition to medication or surgery, measures for preventing GERD include:

• We need to quit smoking;
• If there are overweight, You need to lose weight;
• Need to sleep on a pillow;
• You should avoid clothing with tight belts or belt;
• You want to avoid products, that cause heartburn. These include alcohol, caffeinated drinks, chocolate and products, oily, acute, sour (eg, citrus fruit or tomatoes) food;
• You need to eat smaller portions 4-6 in a day;
• It is not recommended to eat and drink during 3-4 hours, before you go to sleep.