James Hakert, M.D. and nurse with patient

BARRX Procedure in Dallas, TX

What is the BARRX Procedure?

The BARRX procedure or previously known as the HALO procedure is used to treat Barrett’s Esophagus or Barrett’s Disease, which is a change that occurs in the cellular lining of the esophagus. The esophagus is the swallowing tube that carries foods and liquids from the mouth to the stomach. The lining of the esophagus should be a whitish color. However, if reflux is occurring from the stomach then the lining can turn an abnormal dark pink color by the gastro-esophageal junction (usually less than 2.5 inches in length). If the discolored lining area contains mucus-producing cells, called goblet cells, then your gastroenterologist will most likely make a diagnosis of Barrett’s Disease in Dallas, TX.

James Hakert, M.D. uses the BARRX procedure to treat his patients with Barrett’s Esophagus in Dallas, TX area. While there are other available treatments (described below), BARRX has the best clinical results and is the preferred method amongst Dallas TX gastroenterologists for the eradication of Barrett’s Esophagus. You’re encouraged to view the video below for a complete overview of this procedure.

What Causes Barrett’s Esophagus?

While the exact cause of Barrett’s Esophagus isn’t known, typically this condition is brought on by GERD or reflux disease. GERD causes stomach acid or bile to reflux back into the esophagus. This reflux can damage the cells in the esophagus and change them to the type of cells found in Barrett’s Esophagus.

How does Barrett’s Esophagus get Diagnosed in Dallas TX?

In order to properly diagnose a patient with Barrett’s Disease in Dallas TX, either James Hakert, M.D. or another gastroenterologist will need to conduct an upper endoscopy exam (EGD). The EGD will show the doctor if the dark pink tissue typically associated with Barrett’s esophagus is present. If so, then Dr. Hakert will remove a tissue sample and conduct a biopsy. If the tissue sample contains goblet cells then the patient will most likely be diagnosed with Barrett’s Disease.

Recommended Treatment for Barrett’s Disease

There are 4 primary endoscopic treatment options that a gastroenterologist would use for treating Barrett’s Disease prior to the disease developing into cancer. These treatments are:
  • Radiofrequency ablation (RFA)
  • Endoscopic mucosal resection (EMR)
  • Photodynamic therapy
  • Cryotherapy
Dr. James Hakert prefers to use the RFA procedure with the BARRX System, since it has the best clinical results for treating Barrett’s with complete removal of damaged tissue in 98% of patients treated.* The BARRX system uses radiofrequency to destroy abnormal tissue in the esophagus. The radiofrequency destroys the bad mucosa, allowing normal tissue to grow in its place. It does this by sending a current through electrodes, to a controlled depth; which destroys the Barrett’s mucosa but does not harm the underlying tissue. This procedure is very safe, painless and effective.

How do I prepare for a BARRX procedure?

  • You will not be able to eat or drink for 8 hours prior to your procedure.
  • If you are on blood thinners, allergic to any medications, have any heart or lung problems or if you have had radiation treatment on your stomach or upper intestinal track - please inform Dr. Hakert’s office when scheduling your appointment.
    • Management of your blood thinners will need to be discussed with Dr. Hakert directly.
    • Management of your blood thinners will need to be discussed with Dr. Hakert directly.

What Risks are Associated with the BARRX Procedure?

Using the BARRX System makes for a very safe procedure, so the risks related to the BARRX System are quite low. However, there is a risk of perforation or a hole in your small bowel, esophagus or stomach - although this is not a common occurrence.

Is the BARRX Procedure Covered by Insurance?

The BARRX System is a procedure that is covered by most insurance plans. However, as insurance coverage varies, it is suggested that you verify coverage with your insurance provider. If you or your insurance provider should need any clarification from Dr. Hakert’s office, please contact us at 214-368-6707.

James Hakert, M.D.
8220 Walnut Hill Lane, Suite 710 Dallas, TX 75231
Phone: (214) 368-6707
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