Barrett's esophagus in scleroderma: Increased prevalence and radiographic findings |
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Authors: | Michael P Recht Marc S Levine MD David A Katzka James C Reynolds Scott H Saul |
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Institution: | (1) Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104 Philadelphia, PA, USA;(2) Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA;(3) Department of Pathology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA |
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Abstract: | Ten of 27 patients (37%) with scleroderma who underwent endoscopy at our hospital between 1980 and 1984 for symptoms of reflux esophagitis had biopsy-proven Barrett's esophagus. Two of those 10 patients had esophageal adenocarcinomas. In a blinded review of esophagrams (all but 2 using double-contrast technique) from 16 of the 27 patients, only 1 patient was thought to be at high risk for Barrett's esophagus due to a high esophageal stricture with an adjacent reticular pattern of the mucosa. The latter patient had biopsy-proven Barrett's mucosa. Eight patients were thought to be at moderate risk for Barrett's esophagus due to reflux esophagitis and/or distal strictures in 6 and polypoid intraluminal masses in 2. Three of the 6 patients with esophagitis and/or strictures had Barrett's esophagus, and both patients with masses had adenocarcinomas arising in Barrett's mucosa. Finally, 7 patients who had no esophagitis or strictures were thought to be at low risk for Barrett's esophagus. None of those 7 had histologic evidence of Barrett's mucosa. Thus, the major value of double-contrast esophagography is its ability to classify patients into high-, moderate-, and low-risk for Barrett's esophagus to determine the relative need for endoscopy and biopsy in these patients. |
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Keywords: | Esophagus radiography Barrett's esophagus Scleroderma complications |
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