Detailed Information

Cited 47 time in webofscience Cited 51 time in scopus
Metadata Downloads

The Prevalence of and Risk Factors for Barrett's Esophagus in a Korean Population A Nationwide Multicenter Prospective Study

Authors
Park, Jong-JaeKim, Jae WooKim, Hyun JinChung, Moon GiPark, Seon MeeBaik, Gwang HoNah, Byung KyuNam, Su YounSeo, Kang SeokKo, Byung SungJang, Jae-YoungKim, Byeong GwanKim, Ji WonChoi, Youn SeonJoo, Moon KyungKim, Jin IlCho, Mee-YonKim, NayoungPark, Soo-HeonJung, Hyun ChaeChung, In-Sik
Issue Date
Nov-2009
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Keywords
Barrett esophagus; prevalence; reflux symptom; risk factors
Citation
JOURNAL OF CLINICAL GASTROENTEROLOGY, v.43, no.10, pp.907 - 914
Indexed
SCIE
SCOPUS
Journal Title
JOURNAL OF CLINICAL GASTROENTEROLOGY
Volume
43
Number
10
Start Page
907
End Page
914
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/15683
DOI
10.1097/MCG.0b013e318196bd11
ISSN
0192-0790
Abstract
Objective: The aim of this study was to evaluate the prevalence of Barrett's esophagus (BE) in the general Korean population by evaluating, screening esophagogastroduodenoscopy. In addition. the risk factors for BE were identified. Method: An esophagogastroduodenoscopy examination was performed in 25,536 subjects who had Upper endoscopy screening from January 2006 to July 2006. Results: Two hundred and fifteen Subjects were confirmed to have BE by pathology. thus the prevalence of BE was calculated to be 0.84%,. The endoscopic findings were subdivided into 2 groups: BE Without reflux esophagitis (RE). which included 167 (77.7%), and BE with R E, which included 48 (22.3%). The analysis of symptoms showed that only 60.1% of the subjects with BE had reflux symptoms. Chest pain [odds ratio (OR): 1.48, 95% confidence interval (0): 1.04-2.11] and epigastric soreness (OR: 1.42, 95% Cl: 1.05-1.93) were found more frequently in the Subjects with BE compared with the normal Subjects. The multivariate analysis showed that the risk factors for all subjects with BE were a male sex (OR: 1.81 95% Cl: 1.32-2.50). nonsteroidal anti-inflammatory drug use (OR: 2.02, 95%, Cl: 1.28-3.20). hiatal hernia (OR: 5.66. 95% Cl: 3.70-8.66), and an age >= 60 compared with in age < 40 (OR: 1.81. 95% Cl: 1.07-3.09). There was no significant difference associated with RE. Conclusions: The prevalence of BE in Korean patients presenting for a routine health check-up was 0.84% lower than reported in Western countries. Among the subjects with BE 77.7% did not have endoscopic erosions and there were no reflux symptoms in 39.9%. These results suggest that regular endoscopic screening with a high index of suspicion is necessary for the diagnosis of BE.
Files in This Item
There are no files associated with this item.
Appears in
Collections
2. Clinical Science > Department of Family Medicine > 1. Journal Articles
2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Choi, Youn Seon photo

Choi, Youn Seon
Guro Hospital (Department of Family Medicine, Guro Hospital)
Read more

Altmetrics

Total Views & Downloads

BROWSE