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Age: an important factor in Barrett's oesophagus
1Chase Farm Hospital, Enfield, Middlesex.
Annals of the Royal College of Surgeons of England
|January 1, 1989
Summary
Barrett's esophagus complications are more common in older patients, suggesting it's acquired over time. Many elderly patients with this condition receive medical management instead of surgery.
Area of Science:
- Gastroenterology
- Esophageal Diseases
- Oncology
Background:
- Barrett's esophagus is a condition where the lining of the esophagus changes.
- It is a known risk factor for esophageal adenocarcinoma.
Purpose of the Study:
- To investigate the characteristics of patients with Barrett's esophagus, focusing on age and complications.
- To understand the management strategies for Barrett's esophagus in an elderly population.
Main Methods:
- Retrospective study of 31 patients diagnosed with Barrett's esophagus.
- Analysis of patient demographics, presenting complications, and treatment outcomes.
- Comparison of age distribution between patients with uncomplicated and complicated Barrett's esophagus.
Main Results:
- The median age of patients presenting with complications was significantly higher (75 years) than those without (64 years).
- Over two-thirds of patients presented with a complication.
- Five patients (16%) were diagnosed with esophageal carcinoma.
- Only 27% of eligible patients underwent an antireflux procedure.
Conclusions:
- Older age at presentation and the presence of complications suggest Barrett's esophagus is an acquired condition.
- Medical management, including medication and dilatation, is often preferred over surgery in elderly patients due to age and comorbidities.
- The high incidence of complications underscores the importance of early diagnosis and management.