Secular Trends in Patients Diagnosed with Barrett's Esophagus

Background It is not known whether there have been recent changes in demographic or clinical characteristics among patients newly diagnosed with Barrett's esophagus (BE), which could be a result of changes in disease epidemiology or of screening or surveillance effects, and could have clinical...

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Bibliographic Details
Published in:Digestive diseases and sciences 2010-04, Vol.55 (4), p.960-966
Main Authors: Yachimski, Patrick, Lee, Rebecca A, Tramontano, Angela, Nishioka, Norman S, Hur, Chin
Format: Article
Language:English
Subjects:
Adult
Aged
Barrett Esophagus - diagnosis
Barrett Esophagus - epidemiology
Biochemistry
Biological and medical sciences
Body Mass Index
Cohort Studies
Cross-Sectional Studies
Dyspepsia - epidemiology
Endoscopy
Endoscopy, Digestive System
Epidemiology
Esophageal Neoplasms - diagnosis
Esophageal Neoplasms - epidemiology
Esophagus
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Gastroenterology
Gastroenterology. Liver. Pancreas. Abdomen
Health aspects
Hepatology
Humans
Male
Mass Screening - trends
Massachusetts
Medical centers
Medical sciences
Medical screening
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original Article
Other diseases. Semiology
Population Surveillance
Precancerous Conditions - diagnosis
Precancerous Conditions - epidemiology
Retrospective Studies
Transplant Surgery
Tumors
Vertebrates: anatomy and physiology, studies on body, several organs or systems
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Summary:Background It is not known whether there have been recent changes in demographic or clinical characteristics among patients newly diagnosed with Barrett's esophagus (BE), which could be a result of changes in disease epidemiology or of screening or surveillance effects, and could have clinical implications. Aims The aim of this study was to determine whether there has been a shift in age at diagnosis of BE over the past decade. Secondary aims were to determine whether there has been a shift in patient body mass index (BMI) or BE segment length. Methods An endoscopic database at a tertiary medical center was used to identify all esophagogastroduodenoscopies (EGDs) performed between 1997 and 2007. The cohort was restricted to patients newly diagnosed with BE. Pathology records were reviewed to confirm biopsy findings of intestinal metaplasia (IM). Results BE was diagnosed in 378 subjects between 1997 and 2007. Mean age at diagnosis of BE was 60.7 ± 14.1 years, with mean BMI of 27.4 ± 5.2 kg/m² and mean BE segment length of 4.7 ± 3.7 cm. Between 1997 and 2007 there was no significant change in mean age at diagnosis, BMI, BE segment length or in proportion of men versus women newly diagnosed. Conclusions Despite an increase in volume of EGDs performed in an open-access endoscopy unit between 1997 and 2007, there was no appreciable shift in age at diagnosis of BE. BMI and BE segment length among newly diagnosed patients also remained stable over this time period.
ISSN:0163-2116
1573-2568
DOI:10.1007/s10620-009-0985-z