[The prevalence, clinical and endoscopic characteristics of Barrett esophagus in Fujian].
OBJECTIVE
To investigate the incidence and clinical and endoscopic characteristics of Barrett's esophagus (BE) and the relationship between BE and reflux esophagitis (RE).


METHODS
Patients with BE were diagnosed according to new standard by endoscopy and histology. The prevalence, form in endoscopy, histology of biopsy, age, sex, symptom, Helicobacter pylori (Hp) infection and relationship between BE and RE were analyzed.


RESULTS
BE was 7.90% of the total endoscopy number, and male vs female was 1.98, mean age (45.1 +/- 14.8) years old. Only 19.15% of BE patients had typical reflux symptoms. 81.20% of BE patients were with short segment BE. Intestinal metaplasia was detected in 34.83% of BE and dysplasia 9.88%. 39.94% of BE patients were infected with Hp. Patients with RE (2.07%) were significantly less than those of BE (P < 0.01). 8.42% of BE patients were also with RE and 32.11% of RE patients were also with BE.


CONCLUSIONS
The incidence of BE in Fujian of China is high. Most of BE are short segment BE and male and have no typical reflux symptoms. Intestinal metaplasia is found in 1/3 of BE patients. There isn't a close association between BE and RE.
Wang
Wen
W
Department of Gastroenterology, Fuzhou PLA General Hospital, Fuzhou 350025, China. wangw68@medmail.com.cn
Zhang
Zhi-jian
ZJ
Lin
Ke-rong
KR
Li
Da-zhou
DZ
Wen
Xiao-dong
XD
Wu
Qiu-ping
QP
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001471:Barrett Esophagus / Q000175:diagnosis* / Q000453:epidemiology* / Q000382:microbiology; D002681:China / Q000453:epidemiology; D004942:Esophagitis, Peptic / Q000175:diagnosis / Q000473:pathology; D005260:Female; D005773:Gastroscopy; D016481:Helicobacter Infections / Q000150:complications; D016480:Helicobacter pylori / Q000302:isolation & purification; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012737:Sex Factors