A/Prof David van der Poorten
Dr Roslyn Vongsuvanh
  Prof Golo Ahlenstiel
Dr Way Siow

Appointments & Enquiries:  (02) 8711 0160

Gastro Oesophageal Reflux Disease (GORD) and Barrett’s oesophagus.

barretts esophagus

 

Barretts

 

 

Call it reflux, GORD, heartburn or whatever you like, but the sensation of acid coming up the oesophagus is highly unpleasant and is associated with significant morbidity (symptoms) and potential complications.

 

In patients with longstanding reflux, the lining cells of the oesophagus, which are usually thin, flat, squamous (skin like) cells, can change to protect themselves. This change, called metaplasia, leads to the cells becoming like those found further down the intestine, and is called Barrett’s oesophagus. Over time these areas of intestinal metaplasia, or Barrett’s tissue, can change again in a process called dysplasia, and this can lead to oesophageal cancer.

 

The key to controlling the risk associated with Barrett’s oesophagus revolves around effective treatment of the underlying reflux and endoscopic monitoring. Reflux treatment often involves modification of diet and lifestyle factors, use of regular acid suppressing medication and occasionally surgery. Monitoring involves endoscopy on a regular basis (6 months - 2 yearly), depending on whether there is any dyplasia and the extent of any Barrett's changes.

 

reflux smallSpecialsied Services Provided

    • Effective reflux treatments using a combination of medication, dietary and lifestyle advice
    • Detailed diagnostic assessment including use of endoscopy, 24hr pH studies and oesophageal manometry when required
    • Diagnosis and Monitoring of Barrett’s oesophagus using the latest High Definition Scopes, Narrow Band imaging techniques and dye spray
    • In house referral for Barrett’s resection or ablation when high grade dysplasia is present
    • Timely surgical referral for Hiatus Hernia repair and fundoplication when appropriate