Question:
Would someone explain what is Barrett's Mucosa
Can someone please tell me what Barrett's mucosa & Hyperemia is? I'd like to know how it relates to GERD and if it would have an impact on having the WLS. I requested the results of the EDG I had done in November 2001, and these were the findings...I'm really "concerned"... — yourdivaness (posted on April 2, 2002)
April 2, 2002
I am not too sure about the "mucosa" part but Barretts Esophagus
is the presence of pre-cancerous cells in the lining of the stomach or
esophagus. When I had my EGD for pre op testing, they noted, "'Lower
Esphogus': Fragment of gastric type mucosa showing mild chronic active
inflammation and villiform formation of surface epithelium, the latter may
be seen with the early change of Barrett's Esophagus." Basically, the
Endo doctor told me that I may have the early stages of Barrett's and to
have it checked out yearly. Not only did it not hinder my having WLS, it
encouraged surgery because the weight loss and healthier eating habits will
help Barrett's. The doctor also explained another procedure they do for
someone with Barrett's. They remove lining from the stomach and attach it
to the "infected" area. He wanted to discuss that more but when
I told him about the WLS, he said nevermind beacause the WLS would take
care of the Barrett's. Sure enough, when I went for my yearly EGD, there
was absolutely no evidence of Barrett's. The endo doctor told me to have
another endoscopy this year to confirm and then not to even worry about it.
I hope that this helps. ~ Jeanne
— Jeannet
April 2, 2002
I did a search in WebMD for those words, and this is what I came up with:
hyperemia- an excess of blood in a part.
Barrett's esophagus- A change in the cells of the tissue that lines the
bottom of the esophagus. The esophagus may become irritated when the
contents of the stomach back up (reflux). Reflux that happens often over a
long period of time can lead to Barrett's esophagus. --Hope this was of
some help.
— Jennifer Y.
April 2, 2002
My husband has Barret's Syndrome. The way his dr explained it was that when
you have gastric reflux over a long period of time the mucosa (lining) at
the juncture of the esophagus and stomach is exposed to stomach acids more
than it is designed to be. Since your body "adapts" to change,
the cells at the bottom of the esophagus start to mutate, to become more
like the cells in the stomach. While that does help prevent ulceration, the
cells sometimes make mistakes in changing. Sometimes that results in cells
that multiply out of control (cancer). That is why it is important to
control GERD so you reduce the chance that those cells will mutate or
change and thus make a mistake. From what I have seen on this site, most
people who have the surgery are relieved of their GERD because it is no
longer physically possible for the stomach acid to back up into the
esophagus (at least with rny--not sure about DS and others). Hope this
helps!
— ctyst
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