Need help... Should I get laser treatment for Barrett's or just monitoring endoscopies?

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Regular Member

Date Joined Oct 2012
Total Posts : 37
   Posted 10/26/2012 9:28 AM (GMT -6)   
I recently had Lap Nissen surgery. I have been diagnosed with Barrett's and surgery was recommended to prevent further damage to esophagus. I asked my surgeon if I should get laser treatment for my Barrets because I had read that 70% of patients with treatment get it reversed. he did not recommend it. My family practice doctor does. I am confused. If you've had experience with this I'd like to know your opinion, thanks.

Veteran Member

Date Joined Apr 2011
Total Posts : 1604
   Posted 10/27/2012 7:03 AM (GMT -6)   
Hi there

Is your Barretts full circumference? I think I would only want laser treatment if I had dysplasia. Barretts itself doesn't have a huge cancer risk - less than 1% of people with Barretts actually transform to adenocarcinoma. There is a thread which I'll bump up for you about Barretts - I looked at a lot of the research last year. The biggest take home point is that the biggest cause of death for people with Barretts is actually heart disease, not cancer, when you look at deaths from all causes.

I would want to know what the chances of your Barretts resolving on its own is, now that you've had the Nissen, and also what they estimate your risk of cancer is. There is a slightly higher risk for males over 60, but the people most at risk are the ones walking around without symtpoms, not having endoscopies.

I think you have to weigh it all up carefully - are you so worried about cancer that you won't sleep easy until you have ablation, or are you relaxed enough about it to just have regular endoscopies?

Just my thoughts!

New stuff: GERD, Recurrent cystitis/Overactive bladder
Lifelong stuff: Food allergies/intolerance, eczema, asthma

Veteran Member

Date Joined Dec 2008
Total Posts : 4961
   Posted 10/27/2012 10:49 PM (GMT -6)   
If you wrap is functioning the Barretts should not advance because the area isn't getting bombarded with acid. My GI recommends an EGD to check it every 3 years with a functioning wrap.

Take care,
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

Regular Member

Date Joined Oct 2012
Total Posts : 37
   Posted 10/28/2012 8:32 AM (GMT -6)   
Appreciate all the info provided. I noe have more questions to ask, like the circumference and dysplasia. Thanks.
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