I just learned this week that I have Barrett's. I immediately began to research everything I could find on the condition. I was pretty upset for a few days, but I have calmed down some after my research and the passing of a few days to let the news sink in. My personality is such that I react very strongly to news like this initially until I can read up on the basics and then systematically assess my situation.
Here's what I know:
I have BE because my doctor said so in a recorded message that my results were positive from my recent EGD. He did not say that I have dysplasia so I have requested he call me so I can ask more quesions about the pathology. I also made an appointment for consulation but that is a month away. At this point all I have are some clues in his message that lead me to believe that I do not have dysplasia.
I had some other biopies taken in my stomach at the same time as the esophagus biopies and they were all negative so he discussed those results first, then he told me about the positive result for BE. He said that it was not a major concern, that it is a low risk for cancer, but I should be checked periodically, and that I would be checked again in 12 months and if negative every 3 years thereafter. He then closed his report by saying that this was overall a good report and to call his office if I had any questions.
Maybe I'm just tying to convince myself that I do not have any dysplasia, but the fact that he recommended another EGD in 12 months is consistent with general guidelines for people with an initial finding of BE with just metaplasia from what I've read. For those with dysplasia, the recommendations usually suggest having another expert pathologist confirm the result, followed by another EGD in 6 months or even sooner depending on how many samples contained the dysplasia and the length of the barretts segment.
Also, he mentioned that if my result was negative after the follow up in 12 months, I could wait 3 years for the next. I have to assume he meant negative for dysplasia, not negative for barretts. If I have dysplasia now it's certainly not likely to resolve itself in 12 months, nor will the barretts, so I assume he means that if I continue to be negative for dysplasia I can go on a 3 year schedule.
And his closing of "this is a good report." No one would call this a good report if dysplasia were present.
I await his call back. I will ask him if any tissue samples contained dysplasia; were any indefinite for dysplasia; any inflamation that might have made the pathology questionable; did he see any lesions or other concerns during the exam; and what was the length of the barretts segment?
If I have the lowest level of intestinal metaplasia I will actively pursue antireflux surgery. Oral meds do not have established record of stopping GERD so the damage continues. Surgery is the only sure way to stop it from what I've read. But I will discuss that with him in great detail and understand all the risks first. If I have LGD I will definitely consider RFA to remove the barretts tissue. Results for this procedure have been very encourging.