How is Barrett's esophagus treated?

The management of Barrett's esophagus has undergone dramatic changes in the last few years. Patients will most likely undergo aggressive treatment of acid reflux symptoms with either PPI medications or antireflux surgery. Lifetime surveillance is also used to determine if the Barrett cells change. Some research suggests that surgery to stop reflux can stabilize Barrett's esophagus, and sometimes even make it return it to normal. There are several new technologies that show considerable promise. One is called Endoscopic Mucosal Resection (EMR), where a large tuft of the tissue is removed and examined. Another, endoscopic radiofrequency ablation, uses carefully controlled heat to burn off the troubled area. These techniques are accepted for patients with dysplastic Barrett's but considered experimental for patients with regular Barretts at this point in time. 

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