Is long-term PPI use needed for Barrett's esophagus?

Question

Hello doctor,

I am suffering from short-segment Barrett's esophagus. I do not have any unhealthy habits and am not overweight. I have never experienced GERD (gastroesophageal reflux disease) before. Considering my age, I would like to know if long-term use of PPIs (proton pump inhibitors) is recommended for me.

Additionally, I would like to inquire if advanced techniques for managing dysplastic tumors, such as radiofrequency ablation, are available in our country. Although it is unlikely that I will develop dysplasia, I want to be prepared.

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Given that you do not have mild or severe dysplasia, there is currently no need for ablation methods such as radiofrequency ablation (RFA). However, these techniques are available in our country if you require them in the future. Generally, RFA is recommended for patients with at least low-grade dysplasia. For now, a three-yearly endoscopy to monitor Barrett's esophagus and biopsies to check for dysplasia is the recommended course of action.

Regarding PPIs (proton-pump inhibitors), it is advisable to continue their use, as persistent acid reflux can contribute to Barrett's esophagus. While the use of PPIs in patients with Barrett's esophagus without dysplasia is not firmly established in evidence, you should continue taking them if you experience reflux symptoms.

I hope this helps you.

Thank you.