Prevalence, clinical characteristics, and risk factors of Barrett esophagus in Vietnamese patients with upper gastrointestinal symptoms

Quach, Duc Trong; Pham, Quyen Thi Trieu; Tran, Tai Ngoc; Vu, Nhu Thi-Hanh; Le, Quang Dinh; Nguyen, Doan Thi-Nha; Dang, Ngoc Le-Bich; Le, Huy Minh; Le, Nhan Quang; Ho, Khek‐Yu

doi:10.1097/md.0000000000021791

Cited by 8 publications

(10 citation statements)

References 24 publications

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“…e association may be incidental, but there is also suggestion that the tumor pulls the esophageal-gastric junction and causes hiatal hernia [7]. In Vietnam, the prevalence of hiatal hernia was only 2.3% among patients who presented with upper gastrointestinal symptoms [14]. Also, it was especially very uncommon in such a young female.…”

Section: Discussionmentioning

confidence: 99%

Missed Giant Lower Esophageal Leiomyoma in a Young Female Presenting with Refractory Gastroesophageal Reflux Disease

Quach

Luu

2021

Case Reports in Medicine

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Esophageal leiomyoma is a rare disease commonly reported in middle-aged patients with a male predominance. Many patients are asymptomatic, and a few may present with symptoms such as dysphagia and chest pain. However, heartburn is only reported in patients with accompanying hiatal hernia. We hereby report a giant lower esophageal leiomyoma with concomitant hiatal hernia in a young Vietnamese female, who presented with refractory gastroesophageal reflux symptoms. The diagnosis was challenging as the tumor grew outward. As a consequence, the patient did not experience dysphagia and the tumor was hardly detected under endoscopy. The hiatal hernia in this patient was probably related to the presence of the leiomyoma. It is important to look carefully for submucosal tumor at the lower esophagus and cardia under endoscopy in patients with similar manifestations.

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Section: Discussionmentioning

confidence: 99%

Missed Giant Lower Esophageal Leiomyoma in a Young Female Presenting with Refractory Gastroesophageal Reflux Disease

Quach

Luu

2021

Case Reports in Medicine

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“…Detailed information regarding their experience and training have been presented in detail in a recent paper of our group. 8 Reflux esophagitis was graded according to the Los Angeles classification. 10 Endoscopically suspected esophageal metaplasia, which was visible ≥1 cm above the gastroesophageal junction, was recorded according to the Prague C and M criteria; and at least one biopsy per 2 cm in tongues of endoscopic suspected BE, and four biopsies per 2 cm of circumferential suspected BE were taken for histologic examination.…”

Section: Methodsmentioning

confidence: 99%

“…A part of this data set has been published recently, in which the characteristics and risk factors of Barrett's esophagus (BE) were discussed. 8 Pre-endoscopic assessment. Before patients underwent endoscopy, their demographic data were recorded.…”

Section: Methodsmentioning

confidence: 99%

“…The study protocol was approved by the Board of Ethics in Biomedical Research of University of Medicine and Pharmacy at Ho Chi Minh City (ID number: 271/DHYD‐HD, signed on 4th August 2017). A part of this data set has been published recently, in which the characteristics and risk factors of Barrett's esophagus (BE) were discussed 8 …”

Section: Methodsmentioning

confidence: 99%

“…Esophagogastroduodenoscopies were performed under topical anesthesia by five experienced endoscopists (VNTH, LQD, NDTN, DNLB, and LNQ) using Olympus scopes GIF‐160 or GIF‐Q180 (Olympus Co Ltd., Tokyo, Japan). Detailed information regarding their experience and training have been presented in detail in a recent paper of our group 8 . Reflux esophagitis was graded according to the Los Angeles classification 10 .…”

Section: Methodsmentioning

confidence: 99%

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Clinical characteristics and risk factors of gastroesophageal reflux disease in Vietnamese patients with upper gastrointestinal symptoms undergoing esophagogastroduodenoscopy

et al. 2021

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Background and Aim: The risk factors associated with the increase in prevalence of gastroesophageal reflux disease (GERD) are not consistent across countries and there have been few studies in Asia in the past 10 years. This study was conducted to assess the features and risk factors of GERD in Vietnamese patients. Methods: A cross-sectional study was conducted on 1947 out-patients ≥18 years of age who were presented with upper gastrointestinal symptoms and underwent esophagogastroduodenoscopy. Reflux esophagitis was graded according to the Los Angeles classification. Endoscopically suspected Barrett's esophagus (BE) was recorded according to the Prague C and M criteria and biopsy was taken for histologic examination.Results: There were 511 (26.2%) patients with GERD, 242 (47.4%) with nonerosive reflux disease, and 269 (52.6%) with reflux esophagitis and/or BE. Epigastric pain, regurgitation, and heartburn were the chief complaints in 36.8%, 27.0%, and 9.2% of patients, respectively. Most of the patients with mucosal injury had reflux esophagitis in mild grade and BE in the form of C0M ≤2 (99.6%, 231/232 and 97.8%, 46/47, respectively). In multivariate analysis, hiatal hernia, male gender, waist-to-hip ratio (independent from general obesity), and smoking were risk factors for GERD while Helicobacter pylori infection was negatively associated with GERD. Conclusions: The majority of GERD patients had none or mild mucosal injury. Typical reflux symptoms, however, may not be the chief complaints. Central obesity would be more important than general obesity as a risk factor, while H. pylori infection was a "protective" factor for GERD in Vietnamese patients.

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Consensus statements and recommendations on the management of mild‐to‐moderate gastroesophageal reflux disease in the Southeast Asian region

et al. 2021

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This paper reports the proceedings from the first consensus meeting on the management of mild‐to‐moderate gastroesophageal reflux disease (GERD) in the Southeast Asian (SEA) region. Seventeen statements were drawn up by a steering committee that focused on epidemiology, mechanism of action, diagnostic investigations, and treatment. Voting on the recommendations used the Delphi method with two rounds of voting among the 10 panel members. The consensus panel agreed that GERD is mostly a mild disease in the SEA region with predominantly non‐erosive reflux disease (NERD). Complicated GERD and Barrett's esophagus are infrequently seen. The panel recommended endoscopy in patients with alarm or refractory symptoms but cautioned that the incidence of gastric cancer is higher in SEA. pH and impedance measurements were not recommended for routine assessment. The acid pocket is recognized as an important pathogenic factor in GERD. Lifestyle measures such as weight reduction, avoidance of smoking, reduction of alcohol intake, and elevation of the head of the bed were recommended but strict avoidance of specific foods or drinks was not. Alginates was recommended as the first‐line treatment for patients with mild‐to‐moderate GERD while recognizing that proton‐pump inhibitors (PPIs) remained the mainstay of treatment of GERD. The use of alginates was also recommended as adjunctive therapy when GERD symptoms were only partially responsive to PPIs.

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Prevalence, clinical characteristics, and risk factors of Barrett esophagus in Vietnamese patients with upper gastrointestinal symptoms

Cited by 8 publications

References 24 publications

Missed Giant Lower Esophageal Leiomyoma in a Young Female Presenting with Refractory Gastroesophageal Reflux Disease

Missed Giant Lower Esophageal Leiomyoma in a Young Female Presenting with Refractory Gastroesophageal Reflux Disease

Clinical characteristics and risk factors of gastroesophageal reflux disease in Vietnamese patients with upper gastrointestinal symptoms undergoing esophagogastroduodenoscopy

Consensus statements and recommendations on the management of mild‐to‐moderate gastroesophageal reflux disease in the Southeast Asian region

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