Barrett’s oesophagus: Questions and Answers

Written and reviewed by Dr Ali Zad, FRACP gastroenterologist, Brisbane. Last reviewed November 2026 against current Australian and international guidelines. General information only, not a substitute for personal medical advice.

Video: Barrett’s oesophagus – what it is, diagnosis and follow-up

What is Barrett’s oesophagus?

Barrett’s oesophagus is a change in the lining of the lower oesophagus caused by long-standing reflux. The normal lining is replaced by tissue similar to the lining of the bowel. It is diagnosed with a gastroscopy and biopsies.

Normal oesophagus lining compared with Barrett's oesophagus

Does Barrett’s oesophagus mean I will get cancer?

No. Most people with Barrett’s oesophagus never develop cancer. For Barrett’s without dysplasia the risk of progressing to cancer is low (well under 1% per year), which is why regular monitoring rather than surgery is recommended.

Guideline: Cancer Council Australia Barrett’s Oesophagus Guidelines.

How is Barrett’s oesophagus monitored and treated?

Treatment includes controlling reflux, usually with a PPI. For Barrett’s without dysplasia, Australian guidance recommends a surveillance gastroscopy with biopsies about every 3 years for short segments (under 3 cm) and every 2 to 3 years for longer segments. If pre-cancerous changes (dysplasia) are found, they can usually be treated endoscopically, and surveillance becomes more frequent.

Guideline: Cancer Council Australia Barrett’s Oesophagus Guidelines, as adopted by Safer Care Victoria.

Related procedures and information

Book an appointment

If you have symptoms of barrett’s oesophagus, see your GP or book a consultation with gastroenterologist Dr Ali Zad on (07) 2111 2600 or request an appointment online. You can book directly; a GP referral is needed for a Medicare rebate.

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