When the digestive juices in the stomach wash backwards up, an irritation happens near the chest and it is called heartburn. Most of us get heartburn at some point or the other. The only consolation is most of us do not get them regularly. But for some heartburn can become a regular affair and can lead to GERD (Gastroesophageal Reflux Disease) more commonly termed as Acid Reflux. Can you get esophageal cancer from acid reflux? The probability is very minimal but it still exists. Let us analyze.
Chronic Acid Reflux can cause Barrett’s Esophagus
When GERD or Acid Reflux is present for many years, and lifestyle and proper medication is not being followed as per the Gastroenterologists advice, the inner lining of the esophagus can be damaged.
The important signs of Barrett’s Esophagus
- The change in the composition of cells of the esophagus lining. In a normal esophagus, the organ in its inside is lined with cells called squamous cells. In a Barrett’s Esophagus, these cells that line the inside changes to gland cells (columnar cells). These gland cells resemble the cells found in the inner stomach lining.
- Some people with Barret’s Esophagus do not get any heartburn symptoms at all which is a cause of concern.
- The presence of Barret’s Esophagus increases the risk of esophageal cancer almost six times.
- The consolation is everyone with Barret’s Esophagus do not get affected with cancer though the risk is present.
How Barrett’s Esophagus Transforms to Esophageal Cancer
A pre-cancerous stage called dysplasia happens when Barrett’s Esophagus is slowly turning into Esophageal Cancer. Generally people with Barrett’s Esophagus should take endoscopy periodically and assess if the condition has transformed into cancer. If the doctor suspects that there is dysplasia and they are high-grade, then the doctor might advise to undergo cancer treatment. The endoscopy would anyways be utilized to take small tissues and send them for biopsy. Most people with Barrett’s Esophagus who are undergoing regular screening using endoscopy have chances to detect Esophageal Cancer early. But this is just a probability because cancer growth is completely unpredictable.
Symptoms of Barrett’s Esophagus Esophageal Cancer
These are the acid reflux esophageal cancer symptoms to look for if Barret’s Esophagus has transformed into cancer.
- Difficulty in swallowing food. This happens when the lump of food passes the tumor in the esophagus.
- Chronic cough
- An increase in heartburn or a burning sensation in the chest region.
- Unexplained weight loss
So the answer to the question, “can GERD cause esophageal cancer?” is “Probably yes”. Regular lifestyle and medication for GERD can prevent GERD from moving to the next stage of Barret’s Esophagus and in this way development of cancer can be prevented.
In a nutshell, GERD is the abnormal exposure of the food pipe to stomach acid. This over a period of time can change the lining of the esophagus. So the corrosive nature of the digestive juice over a period of time, changes the nature of the food pipe lining cells. This change can sometimes change into cancer cells.
Dr Maran is an experienced Surgeon in the field of Gastro-enterology. He specializes in Advanced laparoscopic Surgery procedures of the gastro-intestinal (GI) tracts. Dr. Maran is also a leading Bariatric Surgeon in Chennai and has a penchant for addressing problems concerning Obesity.