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Risk factors for Barrett's oesophagus and oesophageal adenocarcinoma: Results from the FINBAR study
引用本文:Anderson LA,Watson RG,Murphy SJ,Johnston BT,Comber H,Mc Guigan J,Reynolds JV,Murray LJ. Risk factors for Barrett's oesophagus and oesophageal adenocarcinoma: Results from the FINBAR study[J]. World journal of gastroenterology : WJG, 2007, 13(10): 1585-1594. DOI: 10.3748/wjg.v13.i10.1585
作者姓名:Anderson LA  Watson RG  Murphy SJ  Johnston BT  Comber H  Mc Guigan J  Reynolds JV  Murray LJ
作者单位:Centre for Clinical and Population Sciences Queen's University,Belfast,Northern Ireland,Royal Group of Hospitals,Belfast,Northern Ireland,Centre for Clinical and Population Sciences,Queen's University,Belfast,Northern Ireland,Royal Group of Hospitals,Belfast,Northern Ireland,National Cancer Registry,Cork,Ireland,Royal Group of Hospitals,Belfast,Northern Ireland,St.James's Hospital,Dublin,Ireland,Centre for Clinical and Population Sciences,Queen's University,Belfast,Northern Ireland
基金项目:Supported by an Ireland-Northern Ireland Co-operation ResearchProject Grant sponsored by the Northern Ireland Research & Development Office,and the Health Research Board,Irel and.The Ulster Cancer Foundation also funded a PhD student and Post-doctoral fellow to work within the FINBAR study
摘    要:
AIM:To investigate risk factors associated with Barrett's oesophagus and oesophageal adenocarcinoma.METHODS:This all-Ireland population-based case-control study recruited 224 Barrett's oesophagus patients,227 oesophageal adenocarcinoma patients and 260 controls.All participants underwent a structured interview with information obtained about potential lifestyle and environmental risk factors.RESULTS:Gastro-oesophageal reflux was associated with Barrett's [OR 12.0(95% CI 7.64-18.7)] and oesophageal adenocarcinoma [OR 3.48(95% CI 2.25-5.41)].Oesophageal adenocarcinoma patients were more likely than controls to be ex-or current smokers [OR 1.72(95% CI 1.06-2.81)and OR 4.84(95% CI 2.72-8.61)respectively] and to have a high body mass index [OR 2.69(95% CI 1.62-4.46)].No significant associations were observed between these risk factors and Barrett's oesophagus.Fruit but not vegetables were negatively associated with oesophageal adenocarcinoma [OR 0.50(95% CI 0.30-0.86)].CONCLUSION:A high body mass index,a diet low in fruit and cigarette smoking may be involved in the progression from Barrett's oesophagus to oesophageal adenocarcinoma.

关 键 词:巴雷特氏食管  食管腺癌  风险因子  FINBAR研究  抽烟  癌前病变
收稿时间:2006-09-11

Risk factors for Barrett's oesophagus and oesophageal adenocarcinoma: results from the FINBAR study
Anderson Lesley A,Watson R G Peter,Murphy Seamus J,Johnston Brian T,Comber Harry,Mc Guigan Jim,Reynolds John V,Murray Liam J. Risk factors for Barrett's oesophagus and oesophageal adenocarcinoma: results from the FINBAR study[J]. World journal of gastroenterology : WJG, 2007, 13(10): 1585-1594. DOI: 10.3748/wjg.v13.i10.1585
Authors:Anderson Lesley A  Watson R G Peter  Murphy Seamus J  Johnston Brian T  Comber Harry  Mc Guigan Jim  Reynolds John V  Murray Liam J
Affiliation:1. Centre for Clinical and Population Sciences, Queen's University, Belfast, Northern Ireland
2. Royal Group of Hospitals,Belfast,Northern Inreland
3. National Cancer Registry,Cork,Ireland
4. St.James's Hospital,Dublin,Ireland
Abstract:
AIM:To investigate risk factors associated with Barrett's oesophagus and oesophageal adenocarcinoma.METHODS:This all-Ireland population-based case-control study recruited 224 Barrett's oesophagus patients,227 oesophageal adenocarcinoma patients and 260 controls.All participants underwent a structured interview with information obtained about potential lifestyle and environmental risk factors.RESULTS:Gastro-oesophageal reflux was associated with Barrett's [OR 12.0(95% CI 7.64-18.7)] and oesophageal adenocarcinoma [OR 3.48(95% CI 2.25-5.41)].Oesophageal adenocarcinoma patients were more likely than controls to be ex-or current smokers [OR 1.72(95% CI 1.06-2.81)and OR 4.84(95% CI 2.72-8.61)respectively] and to have a high body mass index [OR 2.69(95% CI 1.62-4.46)].No significant associations were observed between these risk factors and Barrett's oesophagus.Fruit but not vegetables were negatively associated with oesophageal adenocarcinoma [OR 0.50(95% CI 0.30-0.86)].CONCLUSION:A high body mass index,a diet low in fruit and cigarette smoking may be involved in the progression from Barrett's oesophagus to oesophageal adenocarcinoma.
Keywords:Barrett's oesophagus  Oesophageal adenocarcinoma  Smoking  Gastro-oesophageal reflux  Body mass index  Diet  Case-control
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