What are the treatment options for Barrett’s esophagus and early esophageal adenocarcinoma?
Treatment options for Barrett’s esophagus depend on several factors including the presence or absence of hiatal hernia, extent of Barrett’s metaplasia, presence and severity of dysplasia, as well as physical fitness of the patient. These options, which are all available at the Baylor Clinic include dietary modifications, medications to suppress stomach acid secretion, local ablation therapy directed at Barrett’s metaplasia (such as radio frequency ablation (BARRX) – (See Figure B), cryoablation, and endoscopic mucosal resection (See Figure A). Figure A Left: This picture shows two small early esophageal cancers (C) arising in Barrett’s esophagus. Center: This picture shows endoscopic mucosal resection (EMR) where the cancer is removed via endoscopy by one of our gastroenterologist at the Baylor Clinic Barrett’s Esophagus Center. Right: This picture shows the esophagus of the same patient in the previous two pictures following removal of cancer using EMR.