Barrett Esophagus in Asia: Same Disease with Different Pattern
이현석, 전성우,
소속 상세정보
이현석 ( Lee Hyun-Seok )
Kyungpook National University School of Medicine Kyungpook National University Hospital Department of Internal Medicine
전성우 ( Jeon Seong-Woo )
Kyungpook National University School of Medicine Kyungpook National University Hospital Department of Internal Medicine
KMID : 1038120140470010015
Abstract
Barrett esophagus (BE) is considered to develop as a result of chronic gastroesophageal reflux disease (GERD) and to predispose to esophageal adenocarcinoma (EAC). However, the disease pattern of BE in Asia differs from that observed in the West. For example, in the West, the prevalence rates of BE and EAC have progressively increased, whereas although the prevalence rate of GERD is increasing in Asia, the prevalence rates of BE and EAC have remained low in most Asian countries. GERD, hiatal hernia, old age, male sex, abdominal obesity (visceral obesity), smoking, alcohol consumption, and kyphosis are known risk factors for BE in Asia, and most Asian patients have shortsegment BE. Helicobacter pylori infection is more prevalent in Asia than in the West. We suggest larger studies with a prospective design be conducted to elaborate further the different patterns of BE in Asia.
키워드
Barrett esophagus;Prevalence;Risk factors
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