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GERD and Barrett’s Esophagus

March 2, 2009 Written by JP       [Font too small?]

Almost everyone is familiar with the term heartburn, which is also known as GERD (Gastro Esophageal Reflux Disease). When GERD is left untreated it can create other problems. One possible health consequence of GERD is a condition called Barrett’s Esophagus (BE). Barrett’s Esophagus comes into the picture when acid reflux continually makes contact with the lining of the esophagus. This can be problematic because people with Barrett’s Esophagus are 30 to 40 times more likely to develop esophageal cancer than the average population.

BE is particularly dangerous because it generally doesn’t present obvious symptoms. It is most often detected by accident when investigating other conditions that require endoscopic testing, such as trying to locate an ulcer. While the detection of BE is often elusive, it is estimated to affect about 5% of the general population.

Eat, Drink and B.E. Merry

Wine Protects the EsophagusSeveral recent studies provide hope in the area of BE prevention. In the March edition of the journal Gastroenterology, consuming wine was shown to reduce the risk of Barrett’s Esophagus by 56%. Here are some specifics of the study:

  • For three years, 953 men and women were surveyed about their daily alcohol consumption.
  • Those who drank at least one glass of wine a day showed a dramatic (56%) drop in the risk of having Barrett’s Esophagus.
  • The participants who consumed other forms of alcohol did not show any benefit at all.

These results were somewhat surprising because alcohol is typically thought of as an irritant. In the case of BE, the cells in the esophageal lining are already irritated. The theory is that naturally occurring antioxidants in wine may account for the preventive effect.

The lead researcher of the study, Dr. Douglas A. Corley, summarized his views in the following manner, “My advice to people trying to prevent Barrett’s Esophagus is: keep a normal body weight and follow a diet high in antioxidants and high in fruits and vegetables.” He went on to add that, “We already knew that red wine was good for the heart, so perhaps here is another added benefit of a healthy lifestyle and a single glass of wine a day.”

Another just published study found that wine appeared to reduce the risk of not only Barrett’s Esophagus, but also reflux esophagitis (a lesser inflammation of the esophagus) and esophageal adenocarcinoma (cancer).

Barrette's Esophagus

But what if you don’t drink alcohol? Are there other steps that can be taken to reduce the likelihood of esophagus problems? There certainly are. In addition to maintaining a healthy weight, modern science has also noted a protective effect for certain common dietary options. Here are a few of the best choices:

  • Eat a fiber rich diet. A recently completed study, that will be published in April of 2009, clearly shows that eating plentiful fiber can lower the risk of both Barrett’s Esophagus and Esophageal cancer. But beware of high glycemic carbohydrates, which are typically high in sugar and starches. They appear to raise the risk of this form of cancer.
  • Include plenty of fruits and vegetables in your daily menu. A recent analysis presented in the American Journal of Clinical Nutrition found that both men and women who ate the most fruits and vegetables had the lowest incidence of Barrett’s Esophagus.
  • Berries are tops. Berries have been shown to be particularly efficient in protecting the cells of the esophagus. They’re an excellent dietary choice because they’re rich in fiber, low in sugar and they contain antioxidants similar to what you’d find in red wine.

If you suffer from chronic heartburn or if you’re overweight with a family history of esophageal cancer, please ask your doctor about your risk of Barrett’s Esophagus. As you can see, there are safe and natural steps you can take to shift the odds in your favor – both with regard to prevention, and possibly even improvement of existing inflammation.

Note: Please check out the “Comments & Updates” section of this blog – at the bottom of the page. You can find the latest research about this topic there!

Be well!

JP

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One Comment to “GERD and Barrett’s Esophagus”

  1. JP Says:

    Updated 07/16/15:

    http://www.ncbi.nlm.nih.gov/pubmed/26175057

    Dis Esophagus. 2015 Jul 14.

    Adherence to a predominantly Mediterranean diet decreases the risk of gastroesophageal reflux disease: a cross-sectional study in a South Eastern European population.

    Our aim was to assess the association of a Mediterranean diet and gastroesophageal reflux disease among adult men and women in Albania, a former communist country in South Eastern Europe with a predominantly Muslim population. A cross-sectional study was conducted in 2012, which included a population-based sample of 817 individuals (≥18 years) residing in Tirana, the Albanian capital (333 men; overall mean age: 50.2 ± 18.7 years; overall response rate: 82%). Assessment of gastroesophageal reflux disease was based on Montreal definition. Participants were interviewed about their dietary patterns, which in the analysis was dichotomized into: predominantly Mediterranean (frequent consumption of composite/traditional dishes, fresh fruit and vegetables, olive oil, and fish) versus largely non-Mediterranean (frequent consumption of red meat, fried food, sweets, and junk/fast food). Logistic regression was used to assess the association of gastroesophageal reflux disease with the dietary patterns. Irrespective of demographic and socioeconomic characteristics and lifestyle factors including eating habits (meal regularity, eating rate, and meal-to-sleep interval), employment of a non-Mediterranean diet was positively related to gastroesophageal reflux disease risk (fully adjusted odds ratio = 2.3, 95% confidence interval = 1.2-4.5). Our findings point to a beneficial effect of a Mediterranean diet in the occurrence of gastroesophageal reflux disease in transitional Albania. Findings from this study should be confirmed and expanded further in prospective studies in Albania and in other Mediterranean countries.

    Be well!

    JP

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