Hello, I recently visited a renowned medical center to see if my reflux is continuing. Different tests including an endoscopy showed that my LES is good and tight; no reflux is taking place, but the biopsy did find low-grade dysplasia in my stomach. The report described it as "focal polypoid low grade dysplasia, foveolar type."
The Doctor recommended three things:
1. Repeat endoscopy with topographic biopsies within 6 months
2. Blood tests for immunoglobulins to rule out CVID
3. Testing for H.pylori
I previously had LPR (before surgery, which stopped it), and my greatest concern then was developing Barrett's, and eventually developing esophageal cancer. So, I've done extensive research on BE and dysplasia. When I heard they found even low-grade dysplasia in my stomach, I was very concerned. Largely because dysplasia is the last stage before cancer -- in fact, I've heard that when dysplasia is present, there's a 50% chance the patient has cancer already (that's concerning the esophagus; if it's true, I imagine it's not much different with the stomach). And the numbers for stomach cancer are grim: 63% 5-year survival rate if the cancer has not spread outside the stomach, and 28% survival rate if the cancer has spread outside.
I expressed my concerns to my doc, and he replied:
"The low grade dysplasia in your stomach was seen in a small (4 mm polyp), which was completely removed. If you have H.pylori this should be eradicated, and the repeat endoscopy will look for any residual polyps and take extensive biopsies. Among patients with high risk of gastric cancer (which you are not) a repeat endoscopy every 1-2 years is recommended, so our recommendation to re-look in 6 months is if anything a bit on the cautious side."
So I'm not greatly worried -- the dysplasia they found has been removed, and I have confidence in my doctor, and I of course intend to follow through on his recommendations. but I was curious if anyone on this forum has any thoughts on my situation based on their knowledge and/or experience. Thanks!