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Barrett's Esophagus is
a condition in which the normal lining of the lower esophagus is replaced with
tissue similar to the lining of the intestine. This change usually develops
after years of chronic acid reflux or gastroesophageal reflux disease
(GERD). Although Barrett's Esophagus itself does not cause specific
symptoms, most people experience frequent heartburn, regurgitation, chest
discomfort, difficulty swallowing, or a persistent sore throat due to
underlying acid reflux.
The exact cause is prolonged
exposure of the esophagus to stomach acid, which damages the
tissue over time. Risk factors include obesity, smoking, male gender, age
over 50, hiatal hernia, and a long history of GERD. Barrett's Esophagus
is considered a precancerous condition because it slightly increases the risk
of developing esophageal adenocarcinoma.
Diagnosis is confirmed through upper gastrointestinal endoscopy and biopsy, allowing doctors to examine tissue changes and detect abnormal cells. Treatment focuses on controlling acid reflux with lifestyle modifications, weight management, dietary adjustments, and acid-suppressing medications. In cases with precancerous changes (dysplasia), advanced endoscopic procedures such as radiofrequency ablation or endoscopic mucosal resection may be recommended. Regular surveillance through scheduled endoscopies is essential to monitor progression, detect early cancerous changes, and improve long-term outcomes through timely intervention.