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Message
Posted by Ken on August 18, 2000 at 02:09:30:

In Reply to: Barretts Disease posted by Sammie on August 04, 2000 at 14:50:50:

: I have barretts disease, well i had it anyway. They did surgery on me and wrapped my stomach around my esophagus and tightened it. I have spots the doctor checks every two years with scope. I would like to know if there is an alternative to the scope? I get so worked up!!! Can they do ultra sound or something other then the scope to make sure the spots have not turned to cancer?
: thanks so much for any help

Sammy, the gold standard for checking your esophagus is endoscopy. Sorry, but you have to endure this if you want to be sure those spots do not turn cancerous. Although your doc performed what is called a Nissen Fundoplication, this will not cure the Barret's. It will help control acid exposure to your Barret's lesions, which is a positive, but it will not reverse the lesions. You should also be on Prilosec for acid control just in case you still experience reflux. The only current way of eliminating Barret's is to undergo photodynamic therapy (PDT). This treatment is experimental but it entails ingesting a photoreactive dye. You have to be kept out of the sun during treatment, because the dye is photoreactive. As the dye circulates in your body, it concentrates in the lesions then a laser is used to illuminate the lesion and only the precancerous cells are destroyed.

Good luck and be well.

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