Barrett’s Esophagus: When Chronic Acid Reflux Causes Permanent Changes (2024)

Does Barrett’s esophagus ever go away?

Metaplasia won’t go away by itself, though medical procedures can remove the affected tissue. Healthcare providers don’t recommend these procedures unless you have dysplasia. Barrett’s esophagus without dysplasia won’t affect you much. It just means you have to have periodic endoscopy exams. But it’s important to address what’s injuring your esophagus. You can make GERD go away.

Can treatment fix Barrett’s esophagus?

If you remove the affected tissue and stop whatever was injuring your esophagus, Barrett’s esophagus may be cured. But it can return. Sometimes, a layer of metaplasia hides underneath a layer of new, normal tissue. Sometimes, the injury continues, and so the process of metaplasia continues. Because of this risk, your healthcare provider will probably recommend continued surveillance, just to be safe.

How long can you live with Barrett’s esophagus?

You can live a normal life with Barrett’s esophagus, as long as it doesn’t continue to progress. Precancerous or cancerous changes will affect your life expectancy. But most people with Barrett’s esophagus will never develop these changes. In general, your prognosis (outlook) is better the sooner you seek treatment. You can prevent and even remove cancerous changes if you catch them early enough.

A note from Cleveland Clinic

Barrett’s esophagus by itself won’t harm you. But it’s an important sign of prior injury. It’s also a mild warning of possible future harm. What it means is that you need to address the underlying cause of injury to your esophagus. The common causes of esophagitis are usually treatable, and treating them can greatly improve your quality of life. Consider it a bonus if you can also reduce your risk of cancer.

Barrett’s Esophagus: When Chronic Acid Reflux Causes Permanent Changes (2024)

FAQs

Barrett’s Esophagus: When Chronic Acid Reflux Causes Permanent Changes? ›

People who experience persistent reflux (for more than five years) are at risk of developing Barrett's oesophagus. This is a condition where the cells lining the lower oesophagus change in appearance to resemble those of the stomach and intestine, due to their ongoing exposure to gastric juices.

Can acid reflux cause permanent damage to esophagus? ›

Doctors usually treat it with medicine. GERD can be a problem if it's not treated because, over time, the reflux of stomach acid damages the tissue lining the esophagus, causing inflammation and pain. In adults, long-lasting, untreated GERD can lead to permanent damage of the esophagus.

What are the long term complications of Barrett's esophagus? ›

Barrett's esophagus is associated with an increased risk of developing esophageal cancer. Although the risk of developing esophageal cancer is small, it's important to have regular checkups with careful imaging and extensive biopsies of the esophagus to check for precancerous cells (dysplasia).

How long does it take for acid reflux to turn into Barrett's esophagus? ›

Most people who develop Barrett's esophagus have had gastroesophageal reflux disease (GERD) for at least 10 years. But not everyone fits this profile, and other irritants may also lead to Barrett's esophagus. The ways that Barrett's esophagus changes your esophagus lining suggest that it's trying to protect itself.

What are the signs of Barrett's esophagus getting worse? ›

See a gastroenterologist if you experience any of the following symptoms for more than two weeks:
  • Heartburn.
  • Indigestion.
  • Blood in vomit or stool.
  • Difficulty swallowing solid foods.
  • Nocturnal regurgitation (acidic or bitter liquid coming up to the chest or mouth during the night)

How do I know if my esophagus is damaged from acid reflux? ›

Common symptoms of esophagitis include: Difficulty swallowing. Painful swallowing. Swallowed food becoming stuck in the esophagus, also known as food impaction.

Can damage from acid reflux be reversed? ›

Takeaway. While GERD doesn't necessarily affect your lifespan, those who manage their symptoms effectively enjoy a healthier and improved quality of life. In mild cases of GERD, lifestyle changes can reverse damage to your throat and esophagus.

Can you live a long life with Barrett's esophagus? ›

The mean life expectancy following a diagnosis of Barrett esophagus is 22 years; the lifetime risk of requiring intervention for high-grade dysplasia or esophageal adenocarcinoma is between one in five and one in six patients.

Can damage from Barrett's esophagus be reversed? ›

Typically, medical help concentrates on keeping Barrett's esophagus from progressing instead of reversing the condition. It's generally a disease that must be managed, and it's often not possible to completely reverse the condition. However, a new treatment called cryoablation shows a lot of promise.

How do you keep your Barrett's esophagus from progressing? ›

Dietary Changes

Avoiding trigger foods—such as chocolate, coffee, fried foods, peppermint, spicy foods, and carbonated beverages—can help reduce symptoms. These foods increase acid levels in the stomach. Doctors also recommend eating multiple small, frequent meals instead of a few large ones.

What is the new treatment for Barrett's esophagus? ›

Treatment for Barrett's esophagus

Within the past few years, however, new endoscopic resection and radiofrequency ablation (RFA) techniques have been developed to treat advanced dysplasia in patients with Barrett's esophagus.

How often should you have an endoscopy if you have barrett's esophagus? ›

Surveillance endoscopy is recommended every three to five years for patients with Barrett esophagus without dysplasia, every six to 12 months for those with low-grade dysplasia, and every three months for those with high-grade dysplasia (if not eradicated).

What is the best medication for barrett's esophagus? ›

Proton pump inhibitors (PPIs) are drugs that block the three major pathways for acid production. PPIs suppress acid production much more effectively than H2 blockers. PPIs are the most effective medication for healing erosive esophagitis and providing long-term control of GERD symptoms.

Do you burp a lot with Barrett's esophagus? ›

Trouble swallowing food. Dry cough or clearing throat repeatedly. Sour tasting fluid backing up into your mouth. Frequent burping or belching.

Can you get disability for barrett's esophagus? ›

If your gastroesophageal reflux disease is not well controlled by available treatments or has led to severe complications, then you may qualify for long-term disability (LTD) benefits or Social Security Disability benefits for GERD.

Is vitamin D good for barrett's esophagus? ›

After vitamin D supplementation, 25-hydroxyvitamin D levels rose significantly (median increase of 31.6 ng/mL, p<0.001). There were no significant changes in gene expression from esophageal squamous or Barrett's epithelium including 15-PGDH after supplementation.

Can acid reflux scar your esophagus? ›

Chronic acid reflux causes chronic inflammation inside your esophagus. Over time, this can lead to scarring (fibrosis).

Can esophagus heal after acid reflux? ›

Acid reflux, hiatal hernias, vomiting, complications from radiation therapy, and certain oral medications are among the reasons the esophagus can develop inflamed tissue. Esophagitis can usually heal without intervention, but to aid in the recovery, eaters can adopt what's known as an esophageal, or soft food, diet.

How do you treat a damaged esophagus from acid reflux? ›

These are possible treatments:
  1. Therapy. This is to find the cause of your esophagitis.
  2. Acid-blocking medicines.
  3. Additional medicines. Your healthcare provider may prescribe medicines to strengthen the lower esophageal sphincter. ...
  4. Avoidance of certain foods. ...
  5. Dilation. ...
  6. Lifestyle changes. ...
  7. Surgery.

Is reflux esophagitis permanent? ›

Esophagitis will heal if you can stop what's irritating your esophagus long enough to let the natural healing process continue. This may require various lifestyle changes or medications, depending on the cause. Medications can also help to protect and promote healing in your esophagus.

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