Barrett’s esophagus, watch out for cancer

Lao Zhang suffers from gastroesophageal reflux disease. In the past 3 months, his old problems of acid reflux and burning in the stomach relapsed. The doctor suggested that he should be reviewed by gastroscopy. After getting the gastroscopy report, he found that there was a diagnosis of “Barrett’s esophagus” on it, and he couldn’t help but feel tight. What does it mean?

Barrett’s esophagus refers to the squamous epithelium of the lower part of the esophagus covered by columnar epithelium. It was named after the British Barrett first reported, and the Chinese translation was Barrett’s esophagus, the cause of which is still unclear. Some studies believe that this is an acquired disease related to gastroesophageal reflux disease. Long-term exposure of the lower esophagus to acidic solutions, gastric enzymes and bile causes inflammation and destruction of the esophageal mucosa, resulting in acid-resistant columnar epithelium gradually replacing squamous epithelium.

Patients with Barrett’s esophagus often have gastroesophageal reflux, so the patient’s symptoms are mainly caused by gastroesophageal reflux and its accompanying lesions. The most common symptoms are acid reflux and heartburn, followed by back sternal pain and upper abdominal pain.

It is estimated that the risk of esophageal adenocarcinoma in patients with Barrett’s esophagus is 20 times higher than that in the normal population. 80% of esophageal adenocarcinoma occurs on the basis of Barrett’s esophagus, so it is called Barrett’s esophageal adenocarcinoma. Therefore, most guidelines believe that such patients should regularly review endoscopy to prevent tumor development or early treatment.

It has been found that patients with Barrett’s esophagus should not be too nervous, and should pay attention to improving their lifestyles: eat less and eat more meals, reduce stomach bloating, and reduce food residue; walk slowly or sit for about 30 minutes after eating to promote gastric emptying, after eating Do not bow your head, bend over, squat, lift weights, etc.; exercise properly; maintain a good attitude; strictly quit smoking and alcohol; avoid eating chocolate, coffee, strong tea, etc., avoid spicy foods such as onions, garlic, chili, etc. that stimulate the esophageal mucosa; Do not eat 3 to 4 hours before going to bed. If you are prone to pantothenic acid at night, it is best to raise the head of the bed 10 to 20 cm during sleep. Patients should be reviewed regularly, if there are special symptoms, they should be consulted in time, and if necessary, they should also take medicine.