Dr. Ajeet Kumar
Medical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am suffering from short-segment Barrett's esophagus. I do not have any unhealthy habits. Also, I am not overweight.
I have never experienced GERD before.
Considering my age, I want to know whether I should be on PPIs forever.
Also, I would like to know if advanced techniques for dysplastic tumors are available in our country, such as radiofrequency ablation. It is unlikely that I will suffer from dysplasia in my lifetime, but I want to be prepared.
Hello,
Welcome to icliniq.com.
I understand your concern.
Given that you do not have mild or severe dysplasia, you do not need to undergo ablation methods such as RFA (Radiofrequency ablation) at this time.
Yes, they are available in our country if you require them in the future. However, it is recommended that patients using RFA (radiofrequency ablation) have at least low-grade dysplasia.
In your instance, a three-yearly endoscopy to check the growth of the Barrett's, as well as biopsies to rule out the existence of dysplasia, is the best course of action.
Yes, it would be best if you took PPIs (proton-pump inhibitors) since persistent acid reflux causes all of this. Unfortunately, taking a PPI (proton-pump inhibitor) in a patient with Barrett's esophagus without dysplasia is not evidence-based. Still, if you experience reflux symptoms, you should continue to take it.
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Medical Gastroenterology
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