just like mudmagnetmum i cant get "surgery" for my barretts
both the insurance provider and the gi doc state that my risk level doesnt warrant the procedure
there are several stages, or levels to barretts from metaplasia up to dysplasia
here they are from wikipedia
"The cells of Barrett's esophagus, after biopsy, are classified into four general categories: non-dysplastic, low-grade dysplasia, high-grade dysplasia, and frank carcinoma. High-grade dysplasia and frank carcinoma patients are generally advised to undergo surgical treatment. Non-dysplastic and low-grade patients are generally advised to undergo annual observation with endoscopy. In high-grade dysplasia, the risk of developing cancer might be at 10% per patient-year or greater."
so my doc said "see ya in three years for another endoscopy"
i said WHAT? three years no way , ill see ya next year or sooner if you let me
to which she said, " ill compromise and recommend scoping every two years but thats pushing the protocol
and they would not consider ablation until or unless the barretts "progressed" to a high level dysplasia
Post Edited (mock turtle) : 7/18/2011 3:23:55 PM (GMT-6)