Barrett's esophagus in scleroderma: increased prevalence and radiographic findings.
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.
Recht
M P
MP
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
Levine
M S
MS
Katzka
D A
DA
Reynolds
J C
JC
Saul
S H
SH
D000230:Adenocarcinoma / Q000209:etiology; D001471:Barrett Esophagus / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D004935:Esophageal Diseases / Q000209:etiology*; D004938:Esophageal Neoplasms / Q000209:etiology; D004945:Esophagoscopy; D006801:Humans; D011859:Radiography; D012595:Scleroderma, Systemic / Q000150:complications*