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Preparing for your appointment
By Mayo Clinic staffBarrett's esophagus is most often diagnosed in people with GERD who undergo endoscopy exams to look for GERD complications. If your doctor has discovered Barrett's esophagus on an endoscopy exam, you may be referred to a doctor who treats digestive diseases (gastroenterologist).
Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be well prepared for your appointment. Here's some information to help you get ready for your appointment, and what to expect from your doctor.
What you can do
- Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet.
- Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
- Write down key personal information, including any major stresses or recent life changes.
- Make a list of all medications, as well as any vitamins or supplements, that you're taking.
- Take a family member or friend along, if possible. Sometimes it can be difficult to absorb all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
- Write down questions to ask your doctor.
Your time with your doctor is limited, so preparing a list of questions will help you make the most of your time together. List your questions from most important to least important in case time runs out. For Barrett's esophagus, some basic questions to ask your doctor include:
- Does my pathology report show dysplasia? If so, what is the grade of my dysplasia?
- Were my biopsy samples examined by a gastroenterological pathologist? Did two or more pathologists agree on the diagnosis?
- How much of my esophagus is affected by Barrett's dysplasia?
- Will I need to undergo another endoscopy exam to confirm my diagnosis?
- What is my risk of esophageal cancer?
- What are my options for reducing my risk of esophageal cancer?
- What are my treatment options for Barrett's esophagus?
- What are the benefits and risks of each treatment option?
- Do I have to have Barrett's esophagus treatment? What happens if I choose not to have treatment?
- Should I see a specialist? What will that cost, and will my insurance cover it?
- Are there any brochures or other printed material that I can take with me? What Web sites do you recommend?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time that you don't understand something.
- Rich HG. Barrett's esophagus. In: Ferri FF. Ferri's Clinical Advisor 2009: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby Elsevier; 2009. http://www.mdconsult.com/das/book/body/145544773-3/0/1701/0.html. Accessed June 23, 2009.
- Wang KK, et al. Updated guidelines 2008 for the diagnosis, surveillance and therapy of Barrett's esophagus. American Journal of Gastroenterology. 2008;103:788.
- Azodo IA, et al. Barrett's esophagus. American College of Gastroenterology. http://www.acg.gi.org/patients/gihealth/barretts.asp. Accessed June 23, 2009.
- Shaheen NJ, et al. Barrett's oesophagus. The Lancet. 2009;373:850.
- Barrett's esophagus. National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddieases/pubs/barretts/index.htm. Accessed June 23, 2009.
- Crockett SD, et al. Health-related quality of life in patients with Barrett's esophagus: A systematic review. Clinical Gastroenterology and Hepatology. 2009;7:613.
- Waxman I, et al. Mucosal ablation of Barrett esophagus. Nature Reviews Gastroenterology & Hepatology. In press. http://www.nature.com/nrgastro/journal/vaop/ncurrent/abs/nrgastro.2009.90.html. Accessed June 24, 2009.
- Sharma P, et al. Management of nondysplastic Barrett's esophagus: Where are we now? American Journal of Gastroenterology. 2009;104:805.
- HALO 360 System. Barrx Medical, Inc. http://www.barrx.com/Patients_and_Families/index.cfm/421. Accessed June 25, 2009.
- Heartburn, gastroesophageal reflux (GER), and gastroesophageal reflux disease (GERD). National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/gerd/index.htm. Accessed June 29, 2009.
