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Colorectal neoplasms and Barrett's esophagus.
The American Journal of Gastroenterology
|November 1, 1986
Summary
Patients with Barrett's esophagus had a 33% adenoma detection rate during colonoscopy. While older patients showed a higher prevalence, no colorectal malignancies were found, suggesting no increased risk in this cohort.
Area of Science:
- Gastroenterology
- Oncology
Background:
- Barrett's esophagus is a known risk factor for esophageal adenocarcinoma.
- The association between Barrett's esophagus and colorectal neoplasia is less understood.
Purpose of the Study:
- To investigate the prevalence of colorectal adenomas in patients with Barrett's esophagus.
Main Methods:
- A prospective colonoscopic study was conducted on 36 patients diagnosed with Barrett's esophagus.
- Colorectal adenoma findings were recorded and analyzed based on patient age.
Main Results:
- Colorectal adenomas were detected in 33% of the patients studied.
- Adenoma prevalence was higher in patients aged 60 and older (42%) compared to those younger than 60 (24%).
- All detected adenomas were 10 mm or smaller, and no colorectal malignancies were identified.
Conclusions:
- The prevalence of colorectal adenomas in patients with Barrett's esophagus appears consistent with general population autopsy studies.
- This study suggests no elevated risk for colorectal neoplasms in individuals with Barrett's esophagus.