Barrett's Esophagus & Cancer: Symptoms, Causes, & Management | Dr Jitesh Rajpurohit

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In this video, Dr JItesh Rajpurohit (Surgical oncologist, Mumbai) has explained if Barrett's esophagus always leads to cancer.

0:30 What are the danger signs of Barrett's esophagus?
1. Males are more likely to develop Barrett's esophagus.
2. Barrett's esophagus can also be caused by long-term smoking and a history of alcoholism.
3. Barrett's esophagus can be caused by being overweight.
4. Barrett's esophagus can be caused by gastroesophageal reflux disease (GERD).
5. A history of hiatal hernia can result in Barrett's esophagus.

0:54 What exactly is Barrett's esophagus?
Barrett's esophagus is a disorder in which the lining of the lower esophagus changes and becomes comparable to the tissue lining the intestines. It is most commonly associated with persistent acid reflux (gastroesophageal reflux disease, or GERD) and can raise the risk of esophageal cancer.

2:35 What signs and symptoms indicate Barrett's esophagus?
Heartburn or acid reflux that persists
Stomach acid regurgitation or undigested food
Dysphagia (difficulty swallowing)
Pain or discomfort in the chest
Hoarseness or a persistent cough
change in voice

3:20 How is Barrett's esophagus diagnosed?
We apply the Seattle approach to diagnose Barrett's esophagus.
The Seattle protocol is a systematic way of identifying Barrett's esophagus using endoscopic examination and tissue collection. It entails a methodical approach to detecting and confirming the existence of specialized intestinal metaplasia (SIM), a critical feature of Barrett's esophagus.
The Seattle protocol includes the following steps: visualization, biopsy sampling, pathology examination, confirmation and grading.

4:00 How Can Barrett's Esophagus Be Prevented and Treated?
1. Medications can help you limit your gastric acid secretion, preventing the esophagus from being exposed to high levels of gastric acid.
2. Avoid chocolate, caffeinated beverages, smoking, drinking, and spicy foods.
3. Keep a healthy weight
4. Avoid going to bed for 2 hours after eating.

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