11 Options For Treating Barrett's Esophagus

7. Lifestyle and Dietary Changes

While procedures and medications are essential, managing Barrett’s esophagus also requires key lifestyle and dietary changes that support long-term digestive health. Avoiding trigger foods such as spicy dishes, citrus, caffeine, and alcohol can significantly reduce GERD symptoms that contribute to Barrett’s. Eating smaller meals, maintaining a healthy weight, and staying upright after eating all help minimize acid reflux. Even simple changes like elevating the head of the bed can reduce nighttime reflux. These practical shifts, though sometimes underestimated, are a critical part of a holistic approach to slowing the progression of Barrett’s esophagus and improving quality of life.

8. Antireflux Surgery (Fundoplication)

For patients who don’t respond well to medication or prefer a long-term solution to chronic acid reflux, antireflux surgery may be recommended. The most common procedure, known as Nissen fundoplication, involves wrapping the upper part of the stomach around the lower esophagus to reinforce the lower esophageal sphincter. This helps prevent stomach acid from backing up into the esophagus, reducing the risk of further damage and progression of Barrett’s. Though more invasive than other options, surgery can offer lasting relief and may reduce or even eliminate the need for medication in some patients.