Esophagitis Cancer Risk and CT Angiogram

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Thomas P
New Member


Date Joined Jul 2013
Total Posts : 10
   Posted 9/24/2013 2:10 AM (GMT -6)   
I'm a 27 year old male. I've been diagnosed with stage 1 esophagitis via an endoscopy. I also suffer from daily chest pains not relieved by PPIs.

I went for a heart check up yesterday and the ECG and the echocardiogram came back normal. The specialist told me the only way to completely rule out the heart as a cause for the chest pain is to do a CT angiogram.

I've been doing some research on CT angiography and one study indicates that the lifetime cancer risk after a single CT angiography is between 0.1% and 0.2% (http://jama.jamanetwork.com/article.aspx?articleid=208021). Bearing in mind that esophagitis is already a risk factor for cancer, do you think it's worth exposing my self to this radiation? Do you think a cardiac stress test would be better?

theacidrefluxman
Veteran Member


Date Joined Oct 2009
Total Posts : 739
   Posted 9/24/2013 8:12 AM (GMT -6)   
Hi Thomas,

I am 30 and used to worry a lot about cancer risks. I still do occasionally. I've had a number of tests - Barium Swallow, CT Scan, X-rays. I imagine those are all great multiples of radiation/cancer risk than the angiography.

Ultimately it is your decision. But you are already running a number of cancer risks that you are more or less unaware of, mainly due to genetics. Diet and habits also play a big role. So I'd just like to let you feel a bit better by letting you know that all of these risks are flying around you all of the time, and most of them you aren't even aware of. Well, maybe that doesn't make you feel better :)

But you get my drift. If you need a medical test, I'd say get it.

A few years ago I was all about taking no risks to my health or increasing my cancer risk in any way. Now I have learned that life doesn't work that way. Everyone has to accept risks now and then, because in life, they are unavoidable...

theacidrefluxman
Veteran Member


Date Joined Oct 2009
Total Posts : 739
   Posted 9/24/2013 8:14 AM (GMT -6)   
Sorry, should have also pointed out; grade 1 esophagitis is the lowest. Your risk of esophageal adenocarcinoma is likely extremely low. Most Barrett's is found upon first endoscopy, and Barrett's is generally considered a necessary precursor to esophageal adenocarcinoma.

Look at the American Gastroenterological Association (AGA) guidelines for the management of GERD (you can google them). They will inform you more about your disease and risk levels...
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