Barrett's esophagus

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Complications

By Mayo Clinic staff

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Illustration of esophageal cancer 
Esophageal cancer

Digestive Health

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Increased risk of esophageal cancer
People with Barrett's esophagus have an increased risk of esophageal cancer. Still, the risk is small, especially in people whose lab test results show no precancerous changes (dysplasia) in their esophagus cells. The overwhelming majority of people with Barrett's esophagus will never develop esophageal cancer.

Studies of people with Barrett's esophagus show most think their risk of esophageal cancer is much higher than it really is. This causes needless worry and anxiety.

If you're worried about your risk of esophageal cancer, ask your doctor to explain your chances of developing the disease. Also ask what you can do to reduce your risk. This may help you feel more in control of your health.

References
  1. Spechler SJ, et al. Barrett's esophagus. In: Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&isbn=978-1-4160-6189-2&about=true&uniqId=229935664-2192. Accessed March 25, 2011.
  2. Updated guidelines 2008 for the diagnosis, surveillance and therapy of Barrett's esophagus. Bethesda, Md.: American College of Gastroenterology. http://www.acg.gi.org/physicians/guidelines/BarrettsEsophagus08.pdf. Accessed March 25, 2011.
  3. Azodo IA, et al. Barrett's esophagus. American College of Gastroenterology. http://www.acg.gi.org/patients/gihealth/barretts.asp. Accessed March 25, 2011.
  4. Spechler SJ, et al. American Gastroenterological Association medical position statement on the management of Barrett's esophagus. Gastroenterology. 2011;140:1084.
  5. Barrett's esophagus. National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/barretts/index.htm. Accessed March 25, 2011.
  6. Crockett SD, et al. Health-related quality of life in patients with Barrett's esophagus: A systematic review. Clinical Gastroenterology and Hepatology. 2009;7:613.
  7. Heartburn, gastroesophageal reflux (GER), and gastroesophageal reflux disease (GERD). National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/gerd/index.htm. Accessed March 28, 2011.
  8. Greenwald BD, et al. Cryotherapy for Barrett's esophagus and esophageal cancer. Current Opinion in Gastroenterology. In press. Accessed May 23, 2011.
HQ00312 May 25, 2011

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