It is possible for someone with Barrett’s esophagus not to feel the typical symptoms of acid reflux, yet the lining of the esophagus may still be getting damaged. This increases the risk of developing esophageal cancer if left untreated.

Diagnosis

Endoscopy is the main test used to diagnose Barrett’s esophagus. However, other tests may be used to confirm the diagnosis, including:

esophageal manometry: measures the pressure in the esophagus and is used to assess its function
pH monitoring: measures the amount of acid in the esophagus over a 24-hour period
high-resolution manometry: provides detailed images of the esophagus and can help identify any abnormal areas
barium swallow: makes the inside of the esophagus more visible on X-rays and helps detect diseases

Treatment

Treatment for Barrett’s esophagus depends on several factors, including the severity of the condition and the patient’s overall health. The main goals of treatment are to prevent the condition from progressing to esophageal cancer and to manage symptoms, since it is a chronic condition—meaning that once it develops, it lasts a lifetime.

In addition to medications used to control acid reflux, in some cases, surgery or endoscopic procedures may be recommended. Endoscopic procedures are less invasive than surgery. They involve the use of special tools and techniques to destroy or remove abnormal cells in the esophagus.

The Einstein Center for Diagnosis and Treatment of the Esophagus offers treatments with cutting-edge technology and a highly experienced team of specialists. It is also the only center in the country that offers radiofrequency treatment. Learn more about the exams and treatments available.

Prevention

To prevent and manage the condition, it is important for the patient to take an active role in their health:

schedule regular follow-up appointments with a gastroenterologist
stick to prescribed medications
engage in physical exercise
avoid triggers for acid reflux
quit smoking and limit alcohol consumption
manage weight changes and stress

Lifestyle changes are beneficial and can help prevent the progression of Barrett’s esophagus and improve quality of life.

References

Brazilian Journal of Implantology and Health Sciences

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Esophageal cancer: causes, symptoms, diagnosis, and strategies to reduce the risk of developing this type of cancer and maintain digestive system health [...]

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By Einstein Editorial Board