Relationship between Barrett’s esophagus and colonic diseases: a role for colonoscopy in Barrett’s surveillance

Background Given that risk factors for Barrett’s carcinogenesis are predictive, appropriate management and surveillance of Barrett’s esophagus (BE) may be provided. The presence of colorectal neoplasms (CRNs) is a possible predictor of the development of BE and the progression to esophageal adenocar...

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Bibliographic Details
Published in:Journal of gastroenterology 2019-11, Vol.54 (11), p.984-993
Main Authors: Amano, Yuji, Nakahara, Ryotaro, Yuki, Takafumi, Murakami, Daisuke, Ujihara, Tetsuro, Tomoyuki, Iwaki, Sagami, Ryota, Suehiro, Satoshi, Katsuyama, Yasushi, Hayasaka, Kenji, Harada, Hideaki, Tada, Yasumasa, Miyaoka, Youichi, Fujishiro, Hirofumi
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adenocarcinoma
Adenoma
Analysis
Carcinogenesis
Colon
Colonoscopy
Colorectal cancer
Colorectal Surgery
Development and progression
Esophageal cancer
Esophagitis
Esophagus
Gastroenterology
Gastroesophageal reflux
Hepatology
Hernia
Medicine
Medicine & Public Health
Multivariate analysis
Original Article—Alimentary Tract
Risk factors
Surgical Oncology
Surveillance
Tumors
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Summary:Background Given that risk factors for Barrett’s carcinogenesis are predictive, appropriate management and surveillance of Barrett’s esophagus (BE) may be provided. The presence of colorectal neoplasms (CRNs) is a possible predictor of the development of BE and the progression to esophageal adenocarcinoma (EAC). We evaluated the relationship between BE or EAC and colonic diseases, including neoplasms and diverticulosis. Methods Patients ( N  = 5606) who underwent both colonoscopy and esophagogastroduodenoscopy between January 2016 and December 2017 at three institutions were enrolled. The relationships between the presence of colonic diseases and BE or EAC and other clinical or endoscopic predictors of the presence of BE were investigated retrospectively. Results The prevalence of BE ≥ 1 cm and ≥ 3 cm in length was 13.0% and 0.52%, respectively. BE was closely related with the presence of colorectal adenoma (48.4% vs. 37.2% in non-BE; P  
ISSN:0944-1174
1435-5922
DOI:10.1007/s00535-019-01600-x