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Barrett's Esophagus

At GastroDoxs in Houston, we specialize in early, complete detection and comprehensive, trusted management of Barrett's Esophagus to help you prevent serious complications while enjoying personalized care from experienced local gastroenterologists dedicated to your digestive health and peace of mind.

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Bharat Pothuri
Symptoms

What is Barrett's Esophagus?

Barrett's Esophagus is a change in the lining of your esophagus caused by long-term exposure to stomach acid. Over time, the normal squamous cells are replaced by columnar cells that more closely resemble those in the intestine. This cellular transformation raises the risk of developing esophageal cancer, making early detection and monitoring vital.

Common Symptoms

Early Barrett's Esophagus may not cause noticeable symptoms. When they do occur, they often mirror chronic acid reflux:

  • Persistent heartburn or chest burning
  • Discomfort or pain when swallowing
  • Regurgitation of sour liquid or food
  • Chronic cough or hoarseness
  • Unexplained weight loss

Causes

Barrett's Esophagus most commonly arises from prolonged acid reflux damaging the esophageal lining. Key risk factors include:

  • Gastroesophageal reflux disease (GERD)
  • Hiatal hernia
  • Tobacco smoking
  • Excessive alcohol consumption
  • Obesity, especially around the abdomen
  • Family history of Barrett's Esophagus or esophageal cancer
Treatment

Treatment Options for Barrett's Esophagus in Houston

Treatment includes medication, procedures, and lifestyle strategies:

  • Acid-reducing medications: Proton pump inhibitors (PPIs) and H2 blockers lower stomach acid and protect the esophageal lining.
  • Endoscopic treatments: Ablation therapy and mucosal resection remove abnormal cells to reduce cancer risk.
  • Surgical intervention: Fundoplication strengthens the valve between stomach and esophagus when medications aren't enough to prevent reflux.
  • Diet modifications: A low-fat, low-acid diet and avoidance of spicy foods, caffeine, and alcohol help minimize reflux symptoms.
  • Lifestyle changes: Quitting smoking, losing excess weight, and managing stress support healing and reduce risk factors.
  • Regular monitoring: Surveillance endoscopies every 3-5 years for non-dysplastic Barrett's, or more frequently if dysplasia is detected.

Why Choose GastroDoxs?

At GastroDoxs in Houston, our expert team specializes in Barrett's Esophagus care-from early detection with advanced endoscopic techniques to personalized treatment plans and ongoing monitoring. We're committed to guiding you every step of the way, offering compassionate support and clear communication. Book your appointment today to partner with Houston’s trusted gastroenterology specialists and take control of your esophageal health.

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Patients Treated

We've successfully treated more than 4.3K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is the ICD-10 code for Barrett's Esophagus?

The ICD-10 code for Barrett's Esophagus is K22.7, which is used in medical records and billing to identify this specific condition.

What are common symptoms of Barrett's Esophagus?

Many patients have no early symptoms. When they do occur, they often mimic chronic acid reflux and may include heartburn, chest burning, pain when swallowing, regurgitation of sour fluid, a persistent cough, hoarseness, or unexplained weight loss.

What causes Barrett's Esophagus?

Long-term exposure to stomach acid from GERD (gastroesophageal reflux disease) is the primary cause. Other risk factors include hiatal hernia, smoking, alcohol use, obesity around the waist, and a family history of Barrett's or esophageal cancer.

Can Barrett's Esophagus turn into cancer?

Yes, Barrett's Esophagus raises the risk of developing esophageal adenocarcinoma. Regular monitoring and early treatment of precancerous changes help keep the risk low.

What does "Barrett's without dysplasia" mean?

"Barrett's without dysplasia" indicates that the normal esophageal cells have changed but no precancerous (dysplastic) cells are present. It still requires periodic surveillance to catch any early cell changes.

How is Barrett's Esophagus treated?

Treatment aims to reduce acid exposure, remove or destroy abnormal cells, and prevent progression to cancer. Options include proton pump inhibitors (PPIs), H2 blockers, endoscopic ablation or mucosal resection, and in some cases, surgical fundoplication.

What should I eat if I have Barrett's Esophagus?

A low-acid, low-fat diet is recommended. Focus on lean proteins, non-citrus fruits, vegetables, whole grains, and avoid spicy foods, caffeine, alcohol, and other triggers that worsen reflux.

Are there medications for Barrett's Esophagus?

Yes. Proton pump inhibitors (PPIs) and H2 receptor blockers reduce stomach acid, promote healing of the esophageal lining, and help control reflux symptoms.

Do I need a specialist for Barrett's Esophagus?

Yes. A gastroenterologist with expertise in Barrett's Esophagus provides accurate diagnosis, personalized treatment, and ongoing surveillance to minimize cancer risk.

How often should I have an endoscopy?

For Barrett's Esophagus without dysplasia, endoscopy is typically recommended every 3-5 years. If low- or high-grade dysplasia is found, more frequent surveillance or therapeutic endoscopic procedures may be advised.

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