Expert Treatment for Barrett's Esophagus by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He reviews your reflux and GERD history, heartburn frequency, chest discomfort, swallowing difficulties, weight changes, lifestyle factors (smoking, alcohol, diet) and family history of Barrett's or esophageal cancer.
Upper Endoscopy
A thin, flexible scope with a camera is passed through your mouth to directly visualize the esophageal lining and identify any abnormal, reddened areas suggestive of Barrett's changes.
Biopsy
During endoscopy, Dr. Pothuri takes small tissue samples (biopsies) from suspicious regions. These samples are examined under a microscope to confirm the presence of intestinal metaplasia or dysplasia.
Additional Tests (if needed)
- 24-Hour pH Monitoring: Measures how often and how long stomach acid enters the esophagus.
- Esophageal Manometry: Assesses the strength and coordination of esophageal muscle contractions and sphincter function.
Frequently Asked Questions
How is Barrett's Esophagus diagnosed?
An upper endoscopy with biopsy is used to view the esophagus lining and take tissue samples to confirm the presence of abnormal cells.
What symptoms should I watch for?
Persistent heartburn, chest discomfort, difficulty swallowing, or regurgitation of food may signal Barrett's Esophagus. Consult your doctor if you experience these regularly.
Is Barrett's Esophagus dangerous?
Without treatment, it can increase the risk of esophageal cancer. Early detection and ongoing management help prevent progression.
What is the ICD-10 code for Barrett's Esophagus?
The ICD-10 code for Barrett's Esophagus is K22.7, used for accurate medical billing and insurance documentation.
What treatments are available?
Treatment ranges from lifestyle and dietary changes to acid-reducing medications. If abnormal cells are found, minimally invasive procedures like radiofrequency ablation or cryotherapy may be recommended.
How often should I have an endoscopy?
Surveillance intervals depend on the degree of cell changes. Mild cases may require endoscopy every 3-5 years, while more advanced changes need more frequent monitoring.