Eat your strawberries, people!

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GroverCat
Regular Member


Date Joined Mar 2013
Total Posts : 174
   Posted 6/14/2013 2:39 PM (GMT -6)   
Don't know if anyone's posted this yet, but for those of you (like me) who are paranoid about developing Barrett's Esophagus, here's a cool study about the use of strawberries to prevent and treat progression of pre-cancerous cells. Freeze dried berries aren't cheap, but may be worth considering as an addition to your diet. I'm combining freeze dried black raspberries* and strawberries (which I blend into a powder using my long-defunct coffee grinder) and mix it with almond milk and maybe a banana daily. Tastiest treatment ever!


http://nutritionfacts.org/video/strawberries-versus-esophageal-cancer/

*you can do a search on this same website for info on black raspberries and oral cancer

theacidrefluxman
Veteran Member


Date Joined Oct 2009
Total Posts : 739
   Posted 6/14/2013 3:13 PM (GMT -6)   
Good reminder about this. There are a number of additional things that studies point to helping in this regard...brocolli sprouts (and of course, fruits and vegetables in general), turmeric, olive oil, fish oil, black raspberries (like you mention), and surely some other things I am forgetting. There was a thread once that was full of these...maybe it can be resurrected. Strawberries are one of the big ones though.

theacidrefluxman
Veteran Member


Date Joined Oct 2009
Total Posts : 739
   Posted 6/14/2013 3:22 PM (GMT -6)   
Also...depending what your first endoscopy was like, if you didn't have Barrett's, you probably won't develop it. We still don't know why (genes seem like the best bet), regardless of symptoms there is a dominant view that GERD is not a progressive disease (NERD -> erosive esophagitis -> Barrett's). Instead, it is phenotopic (?) (I forget the term right now)...meaning whatever category you are initially, you are almost guaranteed to stay in that category.

See AGA guidelines on GERD for more info. Studies have looked at results of follow-up endoscopies to see what people have developed, and usually they stay the same or see improvement. NERD has like a 2% chance of becoming Barrett's...which is why Doctors will tell you that with NERD, you are basically not at an increased cancer risk.

Don't get me wrong, I eat all of this healthy stuff and focus on esophageal healthy foods in particular because I am afraid of Barrett's and cancer. A lot of days my fingernails are stained with turmeric, because I am a freak about that stuff....but just remember that at the end of the day diet doesn't play an enormous role, it is probably genetic...and if you don't have Barrett's yet, you probably won't get it.

Remember, 40% of EAC cases didn't have any reflux symptoms. Probably a minimal level of reflux that was imperceptible to them was enough to cause their Barrett's (again, probably due to genetic factors), and from there it turned into EAC.

cairnlover
Regular Member


Date Joined May 2013
Total Posts : 27
   Posted 6/14/2013 3:56 PM (GMT -6)   
I am allergic to strawberries......

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 6/14/2013 5:46 PM (GMT -6)   
ARM-

I must be the odd ball. I had several EGDs before they found Barretts. The cell change takes time to develop.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

theacidrefluxman
Veteran Member


Date Joined Oct 2009
Total Posts : 739
   Posted 6/14/2013 6:14 PM (GMT -6)   
Hey Bill,

Yeah, and you are not the only one here that had that experience if I recall correctly...which made me resistant to the idea myself based on my own experience. But in the end I have to go with scientific studies over a few cases that I know...although, like I said, I am still afraid of progression myself. I suppose it is also possible that those of us that end up here at at a higher risk of progression.

I couldn't find some study to cite right now, although I've seen a few...but here is what the AGA guidelines for GERD say:

Chronic Management
7. Does GERD Progress in Severity, Such That Symptomatic Patients Without Esophagitis Develop Esophagitis and Barrett's Metaplasia, or Are These Distinct Disease Manifestations That Do Not Exist Along a Continuum? If Patients Do Progress, at What Rate Does This Occur, and Does It Warrant Endoscopic Monitoring?

Grade D: recommend against, fair evidence that it is ineffective or harms outweigh benefits
I.Routine endoscopy in subjects with erosive or nonerosive reflux disease to assess for disease progression.

Two potential paradigms for viewing the natural history of GERD exist. In the first, GERD is viewed as a progressive disease such that, in the absence of effective intervention, today's patient with nonerosive disease becomes tomorrow's patient with erosive disease, who then becomes a candidate for the development of Barrett's esophagus. This “spectrum of disease” approach has been contrasted with the view that GERD may be a disease with phenotypically discreet “categories,” such as nonerosive disease, erosive esophagitis, and Barrett's esophagus. In this phenotypically preordained view, conversion from one disease manifestation to another is distinctly unusual, and subjects generally stay in their initial category. Available, albeit limited, data suggest that while subjects with GERD may sometimes progress from nonerosive disease to erosive esophagitis (making it not a strictly categorical disease), the reported rates of progression are relatively low over a 20-year period. In patients in whom stricture, Barrett's metaplasia, and adenocarcinoma were excluded in the setting of a healed mucosa at index endoscopy, the likelihood of these developing within a 7-year follow-up period is on the order of 1.9%, 0.0%, and 0.1%, respectively. On the other hand, the likelihood of developing Barrett's esophagus (or unmasking prevalent disease) with healing of Los Angeles C or D esophagitis is about 6%. Most importantly, endoscopically monitoring patients with chronic GERD symptoms has not been shown to diminish the risk of cancer, and this practice is discouraged.

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 6/15/2013 5:56 AM (GMT -6)   
My consultant says 2 year scopes if you have Barretts - even after NF. Having surgery won't necessarily get rid of the Barretts. Apparently, also, about 15% of Barretts just goes away on its own and no one knows why!!

MMM
GERD (3 years and counting)
Lifelong stuff: Food allergies/intolerance, eczema, asthma

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 6/15/2013 11:08 AM (GMT -6)   
ARM...
You are a wealth of knowledge.  All that researching has really paid off with a great understanding of what's going on in there!  Thanks so much for sharing some of what you've learned with others here.  You sound like you're doing really well with it all, and that makes me very happy.
Enjoy that life of yours!
Denise turn
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 6/15/2013 4:57 PM (GMT -6)   
ARM,
 
I agree, you are bringing so much info forward for the members.  Thank you so much.
 
Kitt
~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.



"The wind blows, the sun rises, the snow falls and the ocean relentlessly pounds the shore. Life rolls on with fresh new possibilities at every turn."

shifting
Regular Member


Date Joined Jun 2013
Total Posts : 28
   Posted 6/16/2013 8:54 AM (GMT -6)   
GroverCat said...
Don't know if anyone's posted this yet, but for those of you (like me) who are paranoid about developing Barrett's Esophagus, here's a cool study about the use of strawberries to prevent and treat progression of pre-cancerous cells. Freeze dried berries aren't cheap, but may be worth considering as an addition to your diet. I'm combining freeze dried black raspberries* and strawberries (which I blend into a powder using my long-defunct coffee grinder) and mix it with almond milk and maybe a banana daily. Tastiest treatment ever!


http://nutritionfacts.org/video/strawberries-versus-esophageal-cancer/

*you can do a search on this same website for info on black raspberries and oral cancer


Could you write more about how to prepare the strawberries and why are they safe for a sensitive esophagus if only the water has been removed? Any more details are greatly appreciated!

theacidrefluxman
Veteran Member


Date Joined Oct 2009
Total Posts : 739
   Posted 6/16/2013 4:31 PM (GMT -6)   
Thanks. I feel like I could be a GI doc sometimes, haha. At least a researcher...

A lot is unknown...they only started reliably diagnosing Barrett's, as far as I know, much less than 2 decades ago. It is funny how we all just happened to be here at this point in human history when we literally just began knowing about this condition and have the internet to boot.

I should point out, I think as MMM has stated to me a few times (rightly so), that it isn't known if Barrett's is a necessary precursor to EAC. In fact, one Dr. on the board of the OESO conference:

http://www.oeso.org/paris-2013

told me that Barrett's is definitely not a necessary precursor to all EAC's. But at the same time, if you don't have it, your risk is not much higher than the avg. person so it becomes a quality of life issue...and he doesn't think follow-up endoscopies are necessary for people who don't have Barrett's on first endoscopy regardless of risk factors and symptomology (which is a pretty common trend among these top guys (edit: top guys AND GALS)...in fact, some even think that we shouldn't monitor Barrett's patients after a couple endoscopies that show non-dysplasia).

Overall the general idea that I have gotten is that we all (myself more than anyone), have and sometimes continue to worry too much about cancer. Especially the new people...

Its great to be able to contribute. As a manly man I can't contribute with emotional support so I gotta bust out the science :)

GroverCat
Regular Member


Date Joined Mar 2013
Total Posts : 174
   Posted 6/17/2013 1:43 AM (GMT -6)   
Shifting,

From what I understand, the freeze drying simply makes it more practical to get in higher doses of the fruit in one go (ie 1 cup of fresh berries will contain fewer berries than a cup of dry because the water volume has been removed). Thus, the helpful chemicals/antioxidants in the berries are more concentrated. This is useful for clinical trials in which they mixed dried berry powder into a solution and in one case into a gel (the latter for the direct application to oral cancer lesions). I've just been ordering the dried berries and blending them up into powder and then into almond milk, because a) it tastes good and b) it might coat the throat better than munching the crunchy berries individually. Just a conjecture based on what I've read. If others have a different understanding, please chime in.

GC

theacidrefluxman
Veteran Member


Date Joined Oct 2009
Total Posts : 739
   Posted 6/17/2013 8:01 AM (GMT -6)   
Grovercat,

I like your thinking. Can I ask,do you have a recommendation on where to get them the cheapest? Knowing that they are sometimes on sale, I wonder how long it would take to make it cheaper to just buy a food dehydrator and to dehydrate them yourself when they are a steal at the grocery store in bulk/on sale...

I eat them as is, but definitely like your logic

shifting
Regular Member


Date Joined Jun 2013
Total Posts : 28
   Posted 6/17/2013 8:07 AM (GMT -6)   
guess what-I found dehydrated strawberries at Walgreens! On line you can buy them in bulk from survivalist supply sites. I am still apprehensive to try it...am worried the acid will burn my throat. Any other suggestions or insights on this?

GroverCat
Regular Member


Date Joined Mar 2013
Total Posts : 174
   Posted 6/17/2013 6:08 PM (GMT -6)   
Yeah, I think buying in bulk is your best bet for deals... I found some dried strawberries on Amazon for a decent price, and the black raspberries I have only found via berrihealth.

I don't know about the acidity content for your case, shifting-- I know that I haven't had a problem with it aggravating my GERD/bile reflux, but then again, mine seems to be about the seem regardless of what I eat (with the exception of caffeine and chocolate, which are my only sure-fire triggers). Maybe if you take it mixed with a beverage that doesn't bother your throat that could help... Hopefully it will work with your diet.
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