Experience Concierge Gastroenterology - Voted NJ TOP DOCTOR/ 2021/2022

Steven Gorcey MD

Gastroenterology Appointments 732-597-7333

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    • ERCP
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  • More
    • Home
    • contact us / Directions
    • Patient Portal
    • Forms
    • Services
      • General Gastroenterology
      • Colonoscopy Services
      • Colonoscopy Preparation
      • Barrett's Esophagus
      • Acid Reflux Evaluation
      • Swallowing Evaluation
      • Video Capsule Endoscopy
      • SIBO Breath Testing
      • Pre Surgical Evaluation
      • Hemorrhoid Treatment
      • Food allergy testing
      • Genetic Testing
    • reviews
    • Blogs
    • photos
    • Videos/Slideshows
      • Colonoscopy Preparation
      • Advanced Lesion Resection
      • Endoscopic Suturing
      • BARRX Ablation
      • Upper Endoscopy
      • Colonoscopy
      • BRAVO pH Testing
      • Esophageal Motility
      • ERCP
      • Hemorrhoid treatment
Steven Gorcey MD

Gastroenterology Appointments 732-597-7333

  • Home
  • contact us / Directions
  • Patient Portal
  • Forms
  • Services
    • General Gastroenterology
    • Colonoscopy Services
    • Colonoscopy Preparation
    • Barrett's Esophagus
    • Acid Reflux Evaluation
    • Swallowing Evaluation
    • Video Capsule Endoscopy
    • SIBO Breath Testing
    • Pre Surgical Evaluation
    • Hemorrhoid Treatment
    • Food allergy testing
    • Genetic Testing
  • reviews
  • Blogs
  • photos
  • Videos/Slideshows
    • Colonoscopy Preparation
    • Advanced Lesion Resection
    • Endoscopic Suturing
    • BARRX Ablation
    • Upper Endoscopy
    • Colonoscopy
    • BRAVO pH Testing
    • Esophageal Motility
    • ERCP
    • Hemorrhoid treatment

Barrett's Esophagus

barrets esophagus
barrets ablation
barrx
gerd
acid reflux
heartburn

Treating Barret's Esophagus

 

Treatment Of Barrett's Esophagus


Barrett’s esophagus is a condition where part of the lining of the  esophagus undergoes a change from one cell type (squamous cell) to  another (columnar cell). This change is a result of chronic injury to  the esophagus from gastroesophageal reflux disease (GERD). Patients with  Barrett’s esophagus have an increased risk of developing esophageal  cancer. The progression to esophageal cancer typically occurs by some  cells in the barrett’s segment becoming more abnormal and atypical,  which is called “dysplasia” in medical terms. Patients with this  condition usually have their esophagus surveyed every few years to see  if they are developing any signs of dysplasia.

Traditionally, the only way to remove the dysplasia before it turned  into cancer was by surgery, where the patient would have either a part  or the whole esophagus removed. Dr Gorcey  is pleased  to offer some techniques where both the dysplasia and the barrett’s  esophagus can be treated without the need for surgery. 


Radiofrequency Ablation

The technique is radio frequency ablation. Through using a device  either mounted on a balloon or the tip of the endoscope, heat energy is  applied to the barrett’s segment. The procedure is done in the setting  of an outpatient upper endoscopy, usually taking between 30 to 60  minutes. More than one treatment  may be required to eradicate the  dysplasia and barrett’s tissue. The overall complication rate is well under  1%.


Endoscopic Mucosal Resection

In some patients with barrett’s esophagus, there can a raised or  depressed area in the esophagus. In this setting, removing the abnormal  area using a technique called “endoscopic mucosal resection” can usually  be performed. The physician will first attempt to lift the abnormal  area or spot by either injecting a water based solution into the tissue  or placing a rubber-like band. The physician will then resect it using a  snare (wire loop) with cautery (heat energy). The procedure is done in  the setting of an outpatient upper endoscopy, usually taking between 30 and 60 minutes. Complications from this procedure include mucosal  laceration, esophageal perforation, infection, bleeding, and stricture  formation.

BARRX Video

Photo Gallery

Endoscopic view of Barrett's esophagus

The larger the section of Barret's the higher the risk for cancer transformation

We use high definition video endoscopes with high magnification to assess the characteristics of the Barret's tissue. Note the visible gland structures

NBI or narrow band imaging is a wasy to better see Barret's changes by changing the wavelength of the endoscope light.  Dr Gorcey uses NBI as well as white light during all his endoscopies and colonoscopies (better polyp detection) for a more sensitive exam.

Barrett's Surveillance

We utilize the most advanced surveillance methods at Monmouth Digestive Health

Surveillance endoscopy for Barrett's traditionally utilizes biopsies performed at intervals to monitor for dysplasia and early cancer. Unfortunately, much of the surface area of the Barrett's tissue goes unseen by biopsies. At Monmouth Digestive Health we utilize CDX WATS (Wide Area Tissue Sampling) which involves a special brushing which is the analyzed by 3D computer recognition. 

In addition, if Barrett's esophagus is diagnosed, it is sent for another test called Tissue Cypher which can predict the propensity of the tissue to turn to cancer, thereby allowing us to monitor those patients more frequently, or even offer tissue ablation before dysplasia occurs.

Schedule an appointment with Dr Gorcey to discuss treatment options for Barrett's esophagus

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