study, asymptomatic gerd patients at higher cancer risk than chronic sufferers

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mock turtle
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Date Joined Mar 2011
Total Posts : 467
   Posted 7/25/2011 9:10 PM (GMT -6)   
dont jump to the wrong conclusion based on the title, please read the entire report

those with fewer or lessened symptoms are not being screened as often (as chronic sufered) for barretts and cancer, believing that the elimination of pain by the medications (ppi h2 etc) indicates little risk and less damage


"Pitt Study: Esophageal Cancer Risk Higher In Medically Treated GERD Patients With Fewest Symptoms
Main Category: Acid Reflux / GERD
Also Included In: Cancer / Oncology
Article Date: 19 Jul 2011 - 2:00 PDT

"Medically treated patients with mild or no symptoms of gastroesophageal reflux disease (GERD) are at higher risk for developing esophageal cancer than those with severe GERD symptoms, according to a University of Pittsburgh study published in the current issue of Archives of Surgery.

Many patients who develop adenocarcinoma, a common form of esophageal cancer, are unaware that they have Barrett's esophagus..."

read the rest at

Post Edited (mock turtle) : 7/25/2011 8:20:57 PM (GMT-6)

Regular Member

Date Joined May 2011
Total Posts : 296
   Posted 7/25/2011 11:40 PM (GMT -6)   
Good article but it just makes GERD sufferers more confused...

You either have an all out GERD symptoms or no GERD symptoms but with GERD....

But I think the main thing about the concept is getting tested for it. I mean if someones symtpms are less you would think you are having less GERD. IDK

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Date Joined Apr 2011
Total Posts : 1604
   Posted 7/26/2011 4:09 AM (GMT -6)   
But again we have to remember that only 0.5% of those with Barretts actually go on to develop adenocarcinoma. And within that 0.5% the research as yet gives no clear understanding of what causes the transformation. It is so poorly understood that they admit they are unable to determine who is "high risk" and who is not, so they do not know who to select for screening. There is no consensus on screening in the UK - we are only likely to undergo repeat scopes if we have signs of worsening symptoms, and that is only with a view to managing GERD, not detecting cancer.

I think the search for signs of cancer is actually detracting from effective management of GERD. I've had 2 gastroscopies, and each time once it was clear there was "nothing nasty", the medics very quickly lost all interest in helping determine the cause of my illness. There is intense pressure to get the scope done, after which they yawn and send you away to suffer the symptoms........ or the drug side effects, or both in my case.

I think we should keep the cancer risks in context - one in six men will get prostate cancer - are you chaps all getting in line for screening for that......??

I'd rather have symptomless GERD and a gastroscopy every 3 years - sadly neither seems available to me.
New stuff: GERD. Interstitial Cystitis
Lifelong stuff: Food allergies, eczema, asthma

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Date Joined Oct 2009
Total Posts : 739
   Posted 7/26/2011 8:28 AM (GMT -6)   
hmmmm, I don't like that.

I have go from symptomatic to asymptomatic and am generally happy to do so when I do. Now I wonder if I am having damage done even though I don't feel it...

With common sense though I would have thought that each person is different. If I get really bad GERD and worse symptoms than most, when I get free of them I would think I'd be doing fine. What sucks is dr's don't have an established timeline to do scopes...I don't know when I should get scoped next...despite usually very bad symptoms my Dr. told me 10 years (!), saying that even 3-5 years would be too frequent/soon.
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