History of Barrett's esophagus

48-year-old female, history of Barrett's esophagus, obesity. Takes Prilosec 10 mil 2x a day. Been experiencing chest pain and more acid reflux. Mother had colon cancer 4x, father rectal cancer(colostomy), paternal grandmother stomach cancer, paternal aunt liver and stomach cancer, paternal uncle throat cancer. Pics of EGD. What do you see and how would you treat?

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Pt has got family history malignancy both from maternal side and paternal side and the pt is having Barret oesophagus which is nothing but change of character of the oesophageal tissue due to back flow of acid from stomach which was supposed to be stopped by lower oesophageal sphincter and associated with gastro oesophageal reflux disease. As the days pass on the LES becomes ineffective and and oesophageal tissue thickened. As Barret oesophagus is precursor of malignancy pt should be kept under obsevation and endoscopic biopsy to see the type of dysplasia and the treatment depends upon the type of dyplasia seen if the oesophageal tissue.

Family history of GI malignancy with Barrett's esophagus...a higher ratio of chances of GI malignancy.... To be observed and evaluated further with GI cancer marker and endoscopic HP STUDY to conclude

Thanks Dr. Vipin Bihari Jain
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Vary strong h/o malignancy in immidiate family members He himself is a c/o barret's oesophagus Precursor of malignancy He looks to be loweroesophageal malignancy

Thanx dr Gyanendranath Tripathi
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In view of family history of Melignency of GI..this case could be evaluted eith the highest probablity. Order/Manage for HP , before its too late.

Suspected precancerous stage in esophagus

Barrett’s esophagus is a condition in which the tissue lining the esophagus—the muscular tube that connects the mouth to the stomach—is replaced by tissue that is similar to the lining of the intestine. This process is called intestinal metaplasia. No signs or symptoms are associated with Barrett’s esophagus, but it is commonly found in people with gastroesophageal reflux disease (GERD). A small number of people with Barrett’s esophagus develop a rare but often deadly type of cancer of the esophagus. Barrett’s esophagus affects about 1 percent1 of adults in the United States. The average age at diagnosis is 50, but determining when the problem started is usually difficult. Men develop Barrett’s esophagus twice as often as women, and Caucasian men are affected more frequently than men of other races. Barrett’s esophagus is uncommon in children. The Esophagus The esophagus carries food and liquids from the mouth to the stomach. The stomach slowly pumps the food and liquids into the intestine, which then absorbs needed nutrients. This process is automatic and people are usually not aware of it. People sometimes feel their esophagus when they swallow something too large, try to eat too quickly, or drink very hot or cold liquids.

As the patient has a family history of cancer ,so observe the patient carefully and biopsy should be advised

Esophagostomy with reamastomosis

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