[Correlation of Barrett's esophagus and colonic adenomas].
BACKGROUND
According to the case-control studies, colon adenomas are not more frequent as usual in patients with Barrett's oesophagus.


OBJECTIVE
Analysis of the relationship of Barrett's oesophagus with colon adenomas through a case presentation.


METHODS
The 62-years old male patient has been treated with pantoprazole for reflux oesophagitis and histologically proven short-segment Barrett's oesophagus. Pantoprazole treatment was started and the patient became symptom-free. In 1997 colonoscopy was performed for rectal bleeding and 4 recto-sigmoideal polyps were removed (tubular adenomas). After 4 years of PPI treatment, laparoscopic fundoplication was performed but after one year of symptom-free period, PPI was started again because of relapse. The patient was followed-up for 5 years. The histological examinations included also Ki67 and p53 antibody staining.


RESULTS
On control colonoscopies, small rectal and sigmoid polyps were found. The retrospective histologic examination of the polyps revealed the increase of Ki-67-positive cells from 2-5% to 45-55% during the 5 years of follow-up, which is higher than the values found in controls and may express the increasing proliferative activity of the epithelium.


CONCLUSIONS
Although according to the literature, Barrett's oesophagus does not increase the risk of colon adenomas, this may occur in individual cases, warranting close follow-up.
Ferencvárosi Egészségügyi Szolgálat Gasztroenterológia, Budapest. fesz@mail.matav.hu
György Miklós
GM
Buzás
Hajnalka
H
Gyórffy
Tibor
T
Csörget
D000236:Adenoma / Q000150:complications* / Q000473:pathology; D001471:Barrett Esophagus / Q000150:complications* / Q000473:pathology; D003110:Colonic Neoplasms / Q000150:complications* / Q000473:pathology; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008875:Middle Aged