Free Medical Advice | Asesoramiento médico gratuito| मुफ्त चिकित्सा सलाह

Barrets Oesophagus
Discussion in 'All Categories' started by Ninja - May 2nd, 2013 8:49 pm.
Ninja
Ninja
I have recently been diagnosed with Barret's oesophagus. I had previoulsy given treatment after complainign about GERD. The treatement was to eradicate H. Pylori. the intical treatment failed. During the endscopy to see eradication of H. pylori, biopsies were taken. Histopathology report says the following:

Patient Ninja
Date of birth: 1 December 1969

Material Received: 16/04/2013
Report done: 18.4.2013

Information and clinical diagnosis:

A. Duodenum sp B. Hp gastritis. C esophagogastric junction

Grossing:

N 130671A 2 FGTS. Included in toto
N130671B: 5 FGTS. Included in toto
N 130671C 4 FGTS. Included in toto

microscopy:

N 130671A: Fragments of tangential doudenal mucosa without inflammation or atrophy of villi or giardiasis.

N 130671B: Fragments of the gastric mucosa, fundic and antral, showing both a superficial chronic inflammatory infiltrate with no activity. The special color highlights evidence of Helicobacter in small quantities. No intestinal metaplasia. No atrophy or dysplasia.

N 130671C: Fragments of gastro-esophageal gastric mucosa with signs of chronic inflammation and micro cysts. At the transition of two mucosal presence of a small focus intestinal metaplasia without dysplasia.

Diagnostic Anatomical Pathology;

- Without duodenal mucosal lesion.

- Chronic superficial gastritis has helocobacters pylori.

- Barrett's esophagus without dysplasia.

Endoscopy report says the following:

Upper gastrointestinal duodenoscopy of 15.04.2013

Premedication: Local Anesthesia. Good cooperation. Camera: Video gastroscope Pentax EG-2940K.

Indications: This patient reported frequent belching, epigastric pain and heartburn. He took a treatment to eradicate Helicobacter pylori in the month of March 2013, following a positive breath test. Eventually the symptoms have persisted, despite taking omeprazole.

Review:

Esophagus: the esophageal mucosa was normal up to 40 cm of the upper dental arch, and at the junction of the mucous membranes and the hiatus. Five biopsies are performed, in search of intestinal metaplasia.

Stomach: The stomach mucosa is erythematous irregularly. Lots of gastric biopsies are performed. The pylorus is smooth and symmetrical.

Bulb and duodenum: bulbo-duodenal mucosa without particularity until D2. Two duodenal biopsies are performed.

Conclusions chronic gastritis, otherwise examination within the norm.

Proposals: I look for histology whether the antibiotic was effective salary:. Surprised by presistance of symptoms despite treatment with omeprazole, I suggested the patient to avoid dairy products. It seems much better since.

What can I do. Need your advice

should I go for RFA. or any other procedure.

My present symptoms include - continous heartburn despite taking 40 esomeprazole twide daily.

Thanks for your attenstion and help and advice.
re: Barrets Oesophagus by Dr J S Chowhan - May 2nd, 2013 9:04 pm
#1
Dr J S Chowhan
Dr J S Chowhan
Dear Ninja

As you have Barretts esophagus but do not have dysplasia. We recommend that if the past two endoscopy and biopsy examinations have confirmed the absence of dysplasia, then you should have another endoscopy after three years. Careful watch is required. Laser treatment or RFA is used in severe dysplasia, while overt malignancy may require surgery, radiation therapy, or systemic chemotherapy but at present you are far away from these conditions.

Proton pump inhibitor drugs should be taken by you to prevent further progress. Additionally photodynamic therapy using photofrin is statistically has been found in patient with barrets oesophagus more effective in eliminating dysplastic growth areas than sole use of a proton pump inhibitor.

After consulting your physician you can also go for Nissen fundoplication can reduce the reflux of acid from the stomach into the esophagus.

Taking low dose of aspirin, have shown evidence of preventing esophageal cancer in Barrett esophagus in few study.

The treatment strategy also depends upon your life style and few changes in that is also require so please discuss all these possibilities with your gastroenterologist and get the proper treatment according to his advice.

With regards

J S Chowhan
re: Barrets Oesophagus by Daniul - May 22nd, 2013 3:05 am
#2
Daniul
Daniul
Dear Sir,

I sincerely tbank you for your kind advices.

I should like to seek your kind advice on the followings:

A. Intestinal Metaplasia: I have checked with some doctors here and some of them opined that taking biopsies from Gatro esophageal junction in normally looking esophagues during endoscopy is not indicated (my endoscopy report indicate that the esophagus was normal looking). and inestinal metaplasia at this area (transitional zone between two mucosa types) does not qualify for Barret's. In such a situation what should I do? Is it inestinal metaplasia in the cardia?
since I have chronic gastrities_ do you think the intestinal metaplasia is due to the H. pylori induced chornic gastrities? And also do you think I can take low dose (can you suggest the dose also please) Aspirin in this condition with PPI.

Also, do you think I can go for genetic test such as P53 aneuplody etc.
I have so far done only one endoscopy about one month ago. Should I do it immediately now to cornfirm the diagnosis?

B. GERD: I have ongoing GERD. I have burping imediately after meal (continous). Previously I used to have high chest burn. Now it is there but with less intensitiy ( I am taking esomeprazole 20 mg b.d). After taking any food
Post Reply
Name *
Email * Will be hidden from visitors
Your Picture * Limit 2Mb please
 *
Enter verification code Mathematical catpcha image
=
- calculate the result
* - required fields
 

 

Get Free Postoperative Advice

Accessing Expertise Anywhere: Free Online Medical Advice by World Laparoscopy Hospital

In an age where information is at our fingertips, the World Laparoscopy Hospital is taking the concept of accessibility and expertise to a whole new level. This renowned medical institution is offering a valuable service that transcends geographical boundaries - free online medical advice.

Fee medical advice of Laparoscopic Surgery

The Power of Digital Health

The digital revolution has significantly transformed the way we access healthcare information and connect with medical professionals. World Laparoscopy Hospital has harnessed this power to provide a platform where individuals from around the world can seek medical guidance from top-notch experts without leaving their homes.

The Importance of Medical Advice

Medical advice is a fundamental aspect of healthcare. It serves as a bridge between patients and the knowledge and experience of healthcare professionals. Timely and accurate medical advice can be a lifeline, offering reassurance, guidance, and potentially life-saving information.

World Laparoscopy Hospital: A Beacon of Medical Excellence

World Laparoscopy Hospital is globally recognized for its excellence in Minimal Access Surgery and surgical training. The institution's commitment to innovation, research, and patient care is evident in its mission to extend free online medical advice to those in need.

Key Features of World Laparoscopy Hospital's Online Medical Advice Service:

  1. Expertise Across Specialties: The hospital boasts a roster of expert physicians, surgeons, gynecologists, urologists, and pediatric surgeons. This diverse range of specialists ensures that individuals can receive advice on a wide spectrum of medical issues.

  2. Accessibility: The online platform breaks down geographical barriers. Patients from any corner of the world can access this service, making it especially beneficial for those in remote or underserved areas.

  3. Convenience: Online medical advice is available 24/7, providing the convenience of seeking guidance at any time, day or night. This accessibility is particularly crucial for urgent medical queries.

  4. Privacy: World Laparoscopy Hospital maintains strict patient confidentiality, ensuring that sensitive medical information remains secure.

  5. Multilingual Support: Recognizing the global nature of its audience, the hospital offers support in multiple languages, enhancing accessibility for non-English speakers.

  6. Holistic Guidance: The hospital's expert physicians provide comprehensive advice, addressing not only immediate concerns but also offering insights into long-term health and well-being.

Empowering Patients

The provision of free online medical advice aligns with World Laparoscopy Hospital's mission to empower patients and enhance healthcare outcomes. It allows individuals to take an active role in managing their health and seeking expert guidance when needed.

A Source of Reassurance and Knowledge

In times of uncertainty, illness, or when facing medical questions, World Laparoscopy Hospital's free online medical advice offers a ray of hope. It's a source of reassurance, a font of knowledge, and a testament to the potential of digital health in improving lives.

World Laparoscopy Hospital's commitment to providing free online medical advice represents a significant step towards democratizing healthcare. It brings the expertise of world-class medical professionals to anyone with an internet connection, offering guidance, hope, and the promise of better health. In an era defined by connectivity, this institution stands as a beacon of medical excellence in the digital landscape.

Laparoscopic Surgery Training

If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum

Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.

The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.

World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.

In case of any problem in asking free medical advice please contact | RSS

World Laparoscopy Hospital, Cyber City, Gurugram, NCR Delhi, 122002, India

All Inquiries

Tel: +91 124 2351555, +91 9811416838, +91 9811912768, +91 9999677788



Need Help? Chat with us
Click one of our representatives below
Nidhi
Hospital Representative
I'm Online
×