Anatom3DBarrett's oesophagus
Oesophagus Barretti · Barrettův jícen
What it is
Years of acid change the oesophageal lining to an intestinal type — a precursor of adenocarcinoma, though without dysplasia only about 0.3% a year progress to it.
Symptoms & signs
- Often none
- long history of reflux
- difficulty swallowing suggests progression
🚩 Get help if…
- call 112 / 911 now Vomiting blood or black, tarry stools
- see a doctor soon Food sticking when you swallow, getting worse
- see a doctor soon Weight loss without trying
- see a doctor soon Heartburn that returns or worsens despite treatment
Where it strikes
Medical treatment
- PPI therapy
- endoscopic surveillance every 3–5 years
- radiofrequency ablation or endoscopic resection for dysplasia
Natural & lifestyle
- Weight loss
- raise the head of the bed
- stop smoking
- reduce alcohol
- Mediterranean diet
Emerging & experimental
- Cytosponge screening
- artificial-intelligence endoscopy
- aspirin chemoprevention (AspECT)
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Green tea polyphenols — early trials early / small studies
- Melatonin for reflux — small trials early / small studies
- Alkaline water — anecdotal anecdotal / traditional
ICD codes
- ICD-10 K22.7
- ICD-11 DA23.Z Columnar metaplastic epithelium of the oesophagus, unspecified