Barrett's or no Barrett's

Is It Barrett's Oesophagus?
1
Yes - 50.0%
1
No - 50.0%
0
May be - 0.0%

 
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I.Chatt
New Member


Date Joined Jun 2013
Total Posts : 4
   Posted 6/17/2013 8:58 PM (GMT -6)   
Hi,
I am a 39 yo male and a Clinical Psychologist by profession. I have Sliding Type Hiatus Hernia, GERD for more than 8 years along with Antral Gastritis. On 27th. April, 2013 my Endoscopy Repost indicated the follows :
1. Sliding Type Hiatus Hernia.
2. Barrett’s Oesophagus (Biopsy taken).
3. H-Pyroli negative.

In the Biopsy report, dated 3rd. May, 2013, it is clearly mentioned that the features of the Microscopic findings are consistent with Barrett’s Oesophagus (Section shows one bit of tissue having hyperplastic squamous epithelium. Other bit of tissue having columnar metaplasia and chronic inflammatory cell infiltration into the stroma).

On 12th. June, 2013, I have undergone a second endoscopy by another Gastroenterologist. This time the report indicates :
1. Normal mucosa except islets of columnar epithelium in lower esophagus without esophagitis or Barratt’s.
2. Presence of Hiatus Hernia.
3. Urease test : Negative
This time no samples were taken for biopsy.
During the period from 3rd. may till 12th. June, I took no medicines other then Ranitidine 300 mg. Now I am totally confused about what is the real problem in my abdomen. My doctor also increases the confusion by prescribing me Trifluoperazine which is normally used to treat Schizophrenia and Alzheimer’s. Please advise me.

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted Yesterday 6:43 AM (GMT -6)   
I can tell you the only way to verify barretts is with biopsy showing the presents of goblets cells. It's very easy to mistake a sliding herina for barretts if they overinflate your stomach during endo confusing the end of the esophagus verses the beginning of the stomach. hyperplastic squamous epithelium will show on the biopsy if they took the sample from the stomach and not the esophagus. Hence it must show goblet cells!

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted Yesterday 2:37 PM (GMT -6)   
I agree - Barretts can't be confirmed by naked eye. It's possible to have a very small area of Barretts and it's common to have a little "lip" of Barretts just above the valve, rather than full circumference of Barretts. If Barretts was definite on the first scope the recommendation is to have this monitored, with repeat biopsy done every 2 years. The risk of cell changes towards a cancerous condition are small, less than 1%, but catching it early is crucial so it's worth the monitoring even so.

If you are not convinced of the findings from the first scope you could ask your second GI cons to have a colleague in pathology review the slides to confirm the Barretts.

Barretts provides evidence that reflux has taken place, but not when. So further tests are sometimes required to confirm what is currently happening by way of reflux etc.

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

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted Yesterday 5:46 PM (GMT -6)   
I agree only a biopsy can confirm/ deny barretts, but they can see suspicious areas. Also the area of barretts can heal over and have "normal" tissue sitting on top of the barretts area. This happened to me and when the biopsy came back normal they did another EGD and biopsy, same area since it was still a slight ulcer, but deeper and bingo......barretts.

If your reflux isn't under control I would find a barretts specialist.


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 Yesterday 5:50 PM (GMT -6)   
Hey Bill,

Whoa...scary. I didn't know about that.

I know that just hiding Barrett's under normal tissue was a worry for the ablation procedure...but the data seems like it was a non-issue and doesn't happen often if at all. But healthy tissue healing over Barrett's is another story...I had no idea. Pretty good that they found it afterwards with you :)

I.Chatt
New Member


Date Joined Jun 2013
Total Posts : 4
   Posted Yesterday 8:40 PM (GMT -6)   
My sincere thanks to all of you for your suggestion.

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted Today 5:15 AM (GMT -6)   
ARM-

It was a surprise to my GI as well. He was suspicious when an area that had been positive for at least 2 EGDs(not absolutely sure how many then) that it was just gone. This was my 1st recheck after I had mt 1st nissen redo, so the thought was that somehow without the reflux it healed over.

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

Teacherman
Regular Member


Date Joined Jun 2013
Total Posts : 172
   Posted Today 7:25 PM (GMT -6)   
Have the pathology dept. send your slide to John Hopkins university. There is a blog that is for Barrett's.
Google; John Hopkins university blog Barrett's
They have a dept that looks at slides from other pathology departments. I am going to send mine over. 200 bucks.
I had a small length but had it ablated. Now I wonder if I should have had it double checked.
I called them yesterday and asked to speak with a GI pathologist. Very helpful.
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