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Barrett’s Oesophagus

Barrett’s Oesophagus is a change in the lining of the lower oesophagus. It occurs as a consequence of longstanding gastro-oesophageal reflux/heartburn. Its importance is that the condition can progress to Cancer of the Oesophagus. The risk of cancer of the oesophagus is increased 30 fold.

Barrett’s is present in 1 in 20 adults in the US. it is 2-3 times more common in men than women. Risk factors for the development of Barrett’s include prolonged reflux, male sex, obesity and smoking.

Barrett’s can only be diagnosed at Gastroscopy by a distinctive appearance with confirmation on tissue biopsy.

If Barrett’s is discovered, routine surveillance Gastroscopies are recommended to uncover early changes predictive of the development of Cancer and to destroy / remove this tissue.

Dr Tish has been for advanced training by the American Society of Gastrointestinal Endoscopy in the endoscopic treatment of Barrett’s Oesophagus.