Barrett’s Oesophagus

What is it?

Barrett’s Oesophagus is a condition where the lining of the lower oesophagus changes due to long-term acid and bile reflux. Instead of normal squamous cells, the oesophagus develops cells similar to those in the intestines, a process called intestinal metaplasia. This condition increases the risk of oesophageal cancer.

Risk factors for oesophageal cancer include being an older Caucasian male, smoking, obesity, and family history.

How is it treated?

If Barrett's oesophagus is found during a gastroscopy and you have the risk factors above, your doctor may recommend regular surveillance. This involves repeat gastroscopies every few years to monitor for dysplasia, which indicates early pre-cancerous changes.

If dysplasia is found then it is important that you seek the services of an expert in managing Barrett’s as this finding dramatically increases the risk of developing cancer, and the majority of endoscopists in New Zealand do not detect this change effectively or manage it well.

Dr. Rees Cameron is the regional lead for managing Barrett’s oesophagus, especially in cases with dysplasia. He has developed techniques for more effectively identifying dysplasia, and has the most extensive experience in New Zealand with resecting and eliminating dysplasia and early oesophageal cancer.