Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

198 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What is the frequency of gastroscopy in GERD patients?

Answered by
Dr.
Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5770 Questions

default
Posted on Tue, 2 Sep 2014 in Digestion and Bowels
Question: I have had gerd/ lpr for around 15 years. I've had probably 6 scopes
( most by request).
I started flaring up again around a year ago and went to gastro.
Gastro did a colonoscopy and endoscopy. She told me same story. Both showed some irritation but otherwise normal( no Barrett's or cellular changes)
My gastro said that most people with long term issues who hadn't showed any Barrett's or cellular changes likely wouldn't and that wether or not someone developed Barrett's could even likely be genetic.
It's been 8 months and after some major stress and quite a bit of cheating on the coffee I'm having reflux issues again. I just wondered how often do I need to be scoped? Or are flares just part of the deal? Just concerned and stressed which makes things even worse.
doctor
Answered by Dr. Grzegorz Stanko 49 minutes later
Brief Answer:
Detailed below.

Detailed Answer:
Hello!

Thank you for the query.

There is not specific recommendation about frequency of gastroscopy in GERD patients. However it is thought that patients with Barrets esophagus possibility should have gastroscopy every 3 years.
Flares ups should be present if you do stop taking medicines, otherwise, you should feel fine without any problems. If you do not, the dosage of PPIs is too low, or you are resistant to such treatment.
In my opinion, you should consider surgical treatment of GERD as medicines do not work as they should for you. There is a laparoscopic procedure called fiundoplication which can set you free from GERD and from taking medicines.
Before qualification to this procedure, long term esophageal pH monitoring should be done. Please consult general surgeon with this issue.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Grzegorz Stanko 1 hour later
No, PPI's do work for me but if I drink a lot of coffee and or eat things that irritate my stomach I can get flare ups.
If that's combined with stress it's worse.

I was mainly wondering if I should be concerned or if it was likely a flare up again.
I have health anxiety, so even though I was just scoped 8 months ago I always worry about worst case scenarios.
doctor
Answered by Dr. Grzegorz Stanko 1 hour later
Brief Answer:
.

Detailed Answer:
Flare ups are nothing you should be worried about. You know what are you dealing with and you have recent gastroscopy (8 months is to short for something serious to develop, especially for the cancer). If the flare ups are related to stress or coffee intake, you have also the reason.
If the flare ups are present for no reason, medicines change should be considered.
But this is nothing serious.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Procedures
Medical Topics

Recent questions on  Esophagus

doctor1 MD

i had a monometry done not that long ago and was told that i have scleroderma of the esophagus. basically the muscles of my esophagus are not working. i throw up food days after i eat it and have digestive and esophogeal issues that wont disappear. i have lupus and crest syndrome. i was told by my doctor that i may have to have a feeding tube placed under the problem area of my esophagus or part of my esophagus removed. What is going on?

doctor1 MD

my son has acute achLasia. his esophagus is now stretched out so he has small pockets on both sides. he has already had the stretching and clipping of the muscle. the doctor now days he has to have his esophgus cut out and his stomach pulled up. he is 42 yrs old,5'8" and weighs on a good day 130 #'s. we are afraid that he will die by having this operation because he will even loose more weight. what do we do

doctor1 MD

Hello: About a week ago I began to feel a slight pressure in the top of my stomach. The pain spread up through my esophagus and into my neck, but it also made my arm hurt. This concerned me and I went to the doctor who performed an EKG and cardiac enzymes which were normal. The next day I began to belch up acid into my throat and it left a bitter taste in my mouth. The belching has continued and now I have full blown heartburn. Nothing seems to help and the pain in my arm, although not severe, has continued. Should I be concerned about my heart, or does this seem purely gastrointestinal?

doctor1 MD

Dear Doctor,
for my Father, he has difficulty swallowing due to block in end of esophagus connecting to stomach.. ie..long segment 14cm in length eccentric bowl valve
thickening noted in lower 3rd segment of esophagus
with extension into the gastro esophageal junction,
lesser curvature and greater curvature of the stomach
causing irregular luminal narrowing.
pls suggest a cure for this.
thanks Doctor

doctor1 MD

I have a pain on the right side of chest more toward the back. I feel it when I take a deep breath, or cough . and it feels almost like a sore because food brushes against the affected areas as its going down. It feel like irs between the right...

doctor1 MD

Hi doctor, I am 36 years of age with 71 kg as weight and 5 ft 8 inch height. since last 1 year at times I feel burning sensation around heart area which lasts for 5-10 minutes.its occurenCe is twice and thrice in 15 days. I have got all checkup...

doctor1 MD

Approximately the last ten years I developed a problem swallowing food. I eat slow and chew my food but 2 to 3 times a year the food gets impacted at back of my throat. It's like I can't breath and have to stick my finger down my throat to vomit...