Circumferential Locations of Different Shapes of Short-segment Barrett's Esophagus

Adachi, Kyoichi; Mishiro, Tsuyoshi; Tanaka, Shino; Kinoshita, Yoshikazu

doi:10.2169/internalmedicine.56.8260

Cited by 3 publications

(4 citation statements)

References 38 publications

(43 reference statements)

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“…We previously investigated the circumferential location of different shapes of SSBE and found the prevalence of Barrett's epithelium ! 10 mm in length in 5.2% of individuals who visited the same medical center (34). In contrast, that prevalence was 26.2% in the present study.…”

Section: Discussioncontrasting

confidence: 89%

“…Therefore, the prevalence of Barrett's epithelium in the Japanese population shown here was highest among the reported studies. We previously investigated the circumferential location of different shapes of SSBE and found the prevalence of Barrett's epithelium ≥10 mm in length in 5.2% of individuals who visited the same medical center ( 34 ). In contrast, that prevalence was 26.2% in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…In Japan, however, the prevalence of LSBE is rare, and esophageal adenocarcinoma has been repeatedly demonstrated to mainly occur in cases with SSBE (3)(4)(5). Several Japan-based investigators have explored the prevalence of Barrett's epithelium, including SSBE, and shown it to range from 7.9% to 43.0% in the general population (Table 3) (26)(27)(28)(29)(30)(31)(32)(33)(34), although the criteria used for the SSBE diagnosis were not identical among those studies, especially with regard to length. In the present study, the prevalence of Barrett's epithelium using endoscopic observation with LCI was investigated.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Barrett's Epithelium Shown by Endoscopic Observations with Linked Color Imaging in Subjects with Different <i>H. pylori</i> Infection Statuses

et al. 2021

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Objective This study was conducted to clarify the prevalence of short segment Barrett's esophagus (SSBE) using endoscopic observations with linked color imaging (LCI). In addition, the relationship between the presence of Barrett's epithelium (BE) and the status of H. pylori infection was investigated. Methods The study subjects were 3,353 individuals (2,186 men, 1,167 women; mean age 55.2±9.4 years old) whose status of H. pylori infection had been determined. An endoscopic observation using LCI was performed to examine the distal margin of palisade vessels and confirm the area of BE. The prevalence of BE ≥5 mm in length was investigated. Results BE was diagnosed in 1,884 (56.2%) subjects, with lengths of <10, 10-19, 20-29, and ≥30 mm found in 1,005, 851, 27, and 1, respectively. Its prevalence in H. pylori -negative, H. pylori -positive, and post-eradicated subjects was 41.7%, 64.4%, and 69.9%, respectively (p<0.001). The duration since successful eradication of H. pylori did not affect the prevalence of BE. The degree of gastric mucosal atrophy was higher in cases with BE (p<0.001), although negativity for H. pylori infection and mild gastric mucosal atrophy were significant factors for the development of longer BE. Conclusion A high prevalence of SSBE was noted when LCI was used to determine the area of BE, as the distal end of the palisade vessels was easily visualized. Negativity for H. pylori infection and mild gastric mucosal atrophy were not correlated with SSBE prevalence.

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Section: Discussioncontrasting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prevalence of Barrett's Epithelium Shown by Endoscopic Observations with Linked Color Imaging in Subjects with Different <i>H. pylori</i> Infection Statuses

et al. 2021

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“…The shape of Barrett's epithelium was divided into three groups: island type, tongue type, and mixed type [ 27 ]. Barrett's esophagus with a circumferential length > 3 cm was defined as long-segment Barrett's esophagus, while that with a length of 1–3 cm was defined as short-segment Barrett's esophagus [ 28 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Predictors of Silent Gastroesophageal Reflux Disease in Patients with Hypertension

Liu

et al. 2018

Gastroenterology Research and Practice

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Background Gastroesophageal reflux disease (GERD) without symptoms or silent GERD can be easily missed in patients with hypertension. We aimed to investigate the prevalence of GERD, specifically the prevalence of silent GERD in hypertensive patients, and to explore its possible predictors. Methods Consecutive patients with hypertension referred to the cardiovascular clinic of Suining Central Hospital in 2016 were screened for this study. A Reflux Disease Questionnaire (RDQ) and an esophagogastroduodenoscopy (EGD) were employed for the evaluation of silent GERD. Included patients were divided into silent-GERD group and non-GERD control group. The demographic characteristics and antihypertensive agent prescriptions were collected and compared between the two groups. Results The prevalence of silent GERD and GERD in patients with hypertension was 15.1% and 31.4%, respectively. 66 patients were included in the silent-GERD group, and 298 patients were included in the non-GERD control group. Abdominal obesity and untreated hypertension were positive predictors, while controlled hypertension was a negative predictor for silent GERD. The prescription of calcium channel blockers was not a predictor for it. Conclusions High prevalence of GERD, specifically silent GERD, could be found in patients with hypertension. Abdominal obesity and untreated hypertension were positive predictors for silent GERD, while controlled hypertension was a negative predictor for it.

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Novel Endoscopic Findings of Lesions with a Short White Hair-like Appearance in the Lower Esophagus

Adachi,

Okimoto,

Ebisutani

et al. 2024

Intern. Med.

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Objective The presence of a short white hair-like appearance in the lower esophagus has recently been noted during esophagogastroduodenoscopy (EGD) at our institution. Histological findings showed that this formation was a spiked protrusion of the esophageal papilla. The results regarding the prevalence of such lesions in individuals who underwent EGD examinations as part of medical checkup procedures are herein presented. Methods The EGD results of 14,338 individuals (9,225 males, 5,113 females; mean age 54.0±9.8 years) were examined. The findings related to the presence of multiple lesions with a short white hair-like appearance in the lower esophagus of patients with reflux esophagitis, esophageal squamous papilloma, or gastric mucosal atrophy (GMA), as well as the hiatal hernia width, were investigated. Results Endoscopic findings indicating short white hair-like appendages in the lower esophagus were noted in 167 patients, with a prevalence rate of 1.2%. A female sex, younger age, lower body mass index, lower percentages of habitual smoking and drinking, and the presence of esophageal squamous papilloma were characteristic features of cases with such findings. In addition, a significantly lower prevalence of reflux esophagitis and a smaller diaphragmatic hiatus size were observed. A multiple logistic regression analysis indicated that a female sex, absence of reflux esophagitis, presence of esophageal squamous papilloma, and a smaller diaphragmatic hiatus were factors significantly related to the presence of these short white hair-like appendages. An analysis of circumferential localization revealed the main location to be the left-posterior wall. ConclusionThis study is the first to report the prevalence of multiple short white hair-like appendages in the lower esophagus. The occurrence of such lesions is inversely associated with the presence of reflux esophagitis.

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Circumferential Locations of Different Shapes of Short-segment Barrett's Esophagus

Cited by 3 publications

References 38 publications

Prevalence of Barrett's Epithelium Shown by Endoscopic Observations with Linked Color Imaging in Subjects with Different <i>H. pylori</i> Infection Statuses

Prevalence of Barrett's Epithelium Shown by Endoscopic Observations with Linked Color Imaging in Subjects with Different <i>H. pylori</i> Infection Statuses

Prevalence and Predictors of Silent Gastroesophageal Reflux Disease in Patients with Hypertension

Novel Endoscopic Findings of Lesions with a Short White Hair-like Appearance in the Lower Esophagus

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