Reflux, which occurs with complaints such as burning in the back of the chest, annoyance in the throat, and the return of food to the mouth, can be prevented by measures taken in 5 out of every 1 people. However, neglected reflux, which is not treated for many years, can lead to serious health problems such as Barrett's Esophagus and even esophageal cancer. Professor of Chest Surgery at Memorial Ataşehir and Şişli Hospitals. Dr. Hasan Batırel gave information about the causes and treatment of reflux.
Watch out for these symptoms!
A very strong acid is secreted in the stomach to grind the food. The structure of the cells lining the stomach surface is resistant to the destruction of this acid. There is a muscular valve where the stomach connects to the esophagus so that food digested by this acid does not come back to the esophagus from the stomach. If there is a weakness in this valve system or a width in the tunnel between the esophagus in the diaphragm muscle between the abdomen and the chest cavity, that is, a hernia, in these patients, stomach acid can leak into the esophagus and cause reflux complaints.
- Burning between the two shoulder blades on the back of the chest or behind the heart in front
- Annoyance in the throat
- Feeling of tightness in the heart
- It can occur with symptoms such as when the food comes to the mouth.
Does reflux cause cancer?
The question of whether it causes cancer or not is one of the most frequently asked questions about reflux among the public. Although reflux does not directly cause cancer, Barrett's Esophagus disease caused by untreated reflux can lead to cancer. If reflux is not treated, the esophagus is exposed to acid leaking from the stomach. The cells covering the surface of the esophagus that burned due to stomach acid for many years may begin to resemble cells that are resistant to stomach acid in order to reduce the damage. As a result of this mutation, a disorder called Barrett's Esophagus can occur. Barrett's esophagus patients, who can be seen with a shortening of the esophagus or stomach hernias, are much more likely to be seen in esophageal cancer than in normal people. It is vital that reflux is treated in a timely manner so that it does not cause more serious health problems. Barett Esophagus patients should also not neglect their annual endoscopic controls.
The incidence of reflux and 20-25 percent in Turkey are the same as in Western countries. Not every reflux patient has Barrett's esophagus in the future, and not every person with Barrett's esophagus has esophageal cancer. However, these diseases should be paid attention to. The vast majority of reflux disorders consist of preventable causes.
- Smoking, avoiding alcohol consumption
- Not eating too fast
- Avoiding fast food
- Maintaining weight control
- To take precautions against constipation, that is, slow bowel movements
- Ensuring stress control are measures that can be taken against reflux.
Since it is known that reflux complaints increase during pregnancy, more attention should be paid during this period. Apart from these, anatomical problems and diseases such as stomach hernia may cause reflux.
When is the surgical method used?
With the measures to be taken, most of the reflux complaints can be prevented. In cases where the symptoms do not resolve despite the precautions, drugs can be used after endoscopic controls. The presence of cellular changes should be checked periodically against the risk of Barrett esophagus formation in non-medication reflux complaints. Surgical methods are rarely preferred in the treatment of reflux. If there are serious anatomical problems with reflux complaint (a large stomach hernia) or in cases where medication is required for a long term and becomes resistant to medication, surgical option is preferred to avoid the side effects of the drug.