The prevalence of Barrett's esophagus and erosive esophagitis in a tertiary referral center in Turkey
Küçük Resim Yok
Tarih
2006
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background/aims: In recent years, changes in the definition of Barrett's esophagus have resulted in some difficulties in its diagnosis. Very few epidemiological data on Barrett's esophagus and erosive esophagitis in Turkey are available in the literature. The aim of this study was to determine the prevalence of Barrett's esophagus and erosive esophagitis in a tertiary referral center in Turkey. Methods: 18,766 endoscopic examinations done in Ege University between October 1996 and June 2001 were included in this retrospective study. The histologic identification of goblet cells confirming the presence of intestinal metaplasia within the esophagus was considered as Barrett's esophagus. Results: 280/18,766 (1.5%) cases were suspected as Barrett's esophagus by endoscopy. 84/18,766 (0.4%) cases were confirmed pathologically. Thirty-six cases were women and 48 men; mean age was 55.6 years. Pathology did not confirm the diagnosis in 46% of the long-segment Barrett's esophagus and in 72% of the short-segment Barrett's esophagus cases (p<0.01). Erosive esophagitis was diagnosed in 12.8% of overall patients by endoscopy and was significantly higher in patients with Barrett's esophagus (27%, p=0.0001). Hiatal hernia was found in 5% of Barrett's esophagus cases and in 11.2% of the endoscopically suspected Barrett's esophagus cases (p>0.05). Conclusion: The prevalence of Barrett's esophagus and erosive esophagitis are much lower than in developed countries. In the endoscopic examination, overdiagnosis of Barrett's esophagus is still a problem, especially in the presence of short-segment Barrett's esophagus. The presence of hiatal hernia did not affect the diagnosis.
Açıklama
Anahtar Kelimeler
Barrett's esophagus, Erosive esophagitis, Hiatal hernia, Prevalence, Turkey
Kaynak
Turkish Journal of Gastroenterology
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
17
Sayı
2
