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Barrett's oesophagus

 

The cells that line the lower part of the oesophagus (gullet) called ‘squamous epithelium’ are normally pinkish-white; When these change to become red and arranged in columns like the cells that line the intestine  this is called Barrett’s oesophagus

Barrett’s oesophagus can be caused by reflux of stomach acid and bile into the oesophagus causing irritation and inflammation.  Normally a valve in the stomach retains the acid but in patients with Barrett's oesophagus, this valve has been weakened or moved. Although a weak valve is common, only one in ten people with acid reflux or heartburn symptoms develop Barrett’s oesophagus.

For many people, Barrett's oesophagus does not cause any problems. However, in around 10% of patients this can develop into invasive cancer through a series of steps including low-grade and high-grade dysplasia. Dysplasia means 'abnormal growth'.

 

Reversal of the Barrett's oesophagus cannot treat all symptoms of acid reflux. Treatment of the Barrett's oesophagus simply minimises the risk of future cancer development.

 

 

 

For information about HALO radiofrequency ablation for Barrett's oesophagus

 

 

Information provided by Dr Laurence Lovat, Consultant Gastroenterologist

 

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