Posted , 4 users are following.
Am new to the group. Have had Barretts for 4 years and was checked every two years. This lastest endoscopy with biopsy shows Hi Grade Dysplasia. Biopsy is going on for further analysis..and I am on pins/needles waiting for results: is it just hi grade or possibly undected cancer. Has any one else had their Barretts reach this point and if so what treatment did you receive. Thanks so much.
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Guest ali60886
Posted
Well, there are 2 options in my opinion here.. You definetly should be on high dosage of PPI's daily and secondly, you should do a NISSEN FUNDO. I can't think of anything else here.. you should get screened now every 6 months or so with HGD.
How old are you and which dosage of PPIs are you now on?
Barretts ali60886
Posted
HGD carries an increased risk of progression to cancer.
It needs to be ablated. A combination of Endoscopis Mucosal Resection (EMR) to get rid of the "bumpy bits" and Radio Frequency Ablation (RFA) should get rid of it.
Typically you'll need 3 or 4 treatments to remove it all.
A healthy squamous lining should reform. But you developed Barrett's once so could develop it again. You'll need to remain on PPIs and a surveillance programme.
(Oesophagectomy used to be the preferred treatment for HGD. Thank goodness for RFA! )