Barrett's esophagus
Dear Sir or Madam,
After an endoscopy, I am feeling very uncertain. The doctor said he saw a small change in my esophagus. I asked him if he meant Barrett's, and he denied this. In the preliminary report to my doctor, he wrote: Z line at around 38 cm, small tongue-shaped extensions proximally, in line with appropriate histology with Prague C1 M 3, otherwise bland. According to his statement, there is no inflammation of the esophagus. I also do not suffer from reflux and have no problems with heartburn. The pathology, which took several biopsies, stated that no Barrett metaplasia could be detected in the tissue examined. I am now feeling very uncertain and do not know if I understood the doctor correctly. He said that if a repeat biopsy in a year is negative again, then you do not have Barrett's esophagus. What does that mean? If the result is negative, why do we need to sample again? Can I currently not rule out the presence of Barrett's despite the negative histology? I would be very grateful for an honest assessment and response. Best regards.
