As to the bile versus acid issue. I literally had someone at Cornell in NY tell me they don’t do bile. What the h…. could that possibly mean. They don’t recognize it as a potential relux agent. And anyway according to this physician on staff there’s not much you can do about it . It’s a political issue between the gastros and the surgeons. The surgeons will talk to you about it but don’t expect a gastro to be so interested. So in this large prestigious institution you only get ppi’s and a shrug when you mention bile.
As far as the metaplasia is concerned as long as it is not dysplasia they don’t get overly excited. Like let’s just watch and see if it grows closer to cancer. Come back in a yr or three and we will look again. My test was done on Monday of this wk and I’m still processing the implications and trying to decide how to remain sane. As for reflux, I never had any that I know of until the gb went bye bye.”