Am I at Risk for Esophageal Cancer?
Waking Up Puking Acid Reflux Causes (🔴 When To See A Doctor) | Waking Up Puking Acid Reflux Best Home Remedieshow to Waking Up Puking Acid Reflux for There are two main types of esophageal cancer: squamous cell cancer and adenocarcinoma of the esophagus. Squamous cell cancer occurs most commonly in African Americans as well as people who smoke cigarettes and drink alcohol excessively. This type of cancer is for 1 last update 02 Jul 2020 not increasing in frequency. There are two main types of esophageal cancer: squamous cell cancer and adenocarcinoma of the esophagus. Squamous cell cancer occurs most commonly in African Americans as well as people who smoke cigarettes and drink alcohol excessively. This type of cancer is not increasing in frequency.
The other cancer, adenocarcinoma of the esophagus, occurs most commonly in Caucasians as well as people with gastroesophageal reflux disease (GERD). This cancer is increasing in frequency.
The most common symptom of GERD is heartburn, a condition that 20 percent of American adults experience at least twice a week. Although these individuals are at increased risk of developing esophageal cancer, the vast majority of them will never develop it. But in a few patients with GERD (estimated at 10-15%), a change in the esophageal lining develops, a condition called Barrett’s esophagus. Doctors believe most cases of adenocarcinoma of the esophagus begin in Barrett’s tissue.
What is Barrett''s Esophagus?
Your doctor will first perform an upper endoscopy to diagnose Barrett’s esophagus. Barrett’s tissue has a different appearance than the normal lining of the esophagus and is visible during endoscopy. Although this examination is very accurate, your doctor will take biopsies from the esophagus to confirm the diagnosis as well as look for the precancerous change of dysplasia that cannot be seen with the endoscopic appearance alone. Taking biopsies from the esophagus through an endoscope only slightly lengthens the procedure time, causes no discomfort and rarely causes complications. Your doctor can usually tell you the results of your endoscopy after the procedure, but you will have to wait a few days for the biopsy results.
Who Should be Screened for Barrett''s Esophagus Treated?
Medicines and/or surgery can effectively control the symptoms of GERD. However, neither medications nor surgery can reverse the presence of Barrett’s esophagus or eliminate the risk of cancer. There are some experimental treatments through which the Barrett’s tissue can be destroyed through the endoscope; but these treatments can cause complications, and their effectiveness in preventing cancer is not clear.
What is Dysplasia?
Dysplasia is a precancerous condition that doctors can only diagnose by examining biopsy specimens under a microscope. Doctors subdivide the condition into highgrade, low-grade, or indefinite for dysplasia. If dysplasia is found on your biopsy, your doctor might recommend more frequent endoscopies, attempts to destroy the Barrett’s tissue, or esophageal surgery. Your doctor will recommend an option based on the degree of the dysplasia and your overall medical condition.
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