Barrett's oesophagus and oesophageal adenocarcinoma: time for a new synthesis.
The public health importance of Barrett's oesophagus lies in its association with oesophageal adenocarcinoma. The incidence of oesophageal adenocarcinoma has risen at an alarming rate over the past four decades in many regions of the Western world, and there are indications that the incidence of this disease is on the rise in Asian populations in which it has been rare. Much has been learned of host and environmental risk factors that affect the incidence of oesophageal adenocarcinoma, and data indicate that patients with Barrett's oesophagus rarely develop oesophageal adenocarcinoma. Given that 95% of oesophageal adenocarcinomas arise in individuals without a prior diagnosis of Barrett's oesophagus, what strategies can be used to reduce late diagnosis of oesophageal adenocarcinoma?
Reid
Brian J
BJ
Divisions of Public Health Sciences and Human Biology, Fred Hutchinson Cancer Research Center, University of Washington, 98109 Seattle, USA. bjr@fhcrc.org
Li
Xiaohong
X
Galipeau
Patricia C
PC
Vaughan
Thomas L
TL
D000230:Adenocarcinoma / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D001471:Barrett Esophagus / Q000150:complications*; D004938:Esophageal Neoplasms / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D042822:Genomic Instability; D006801:Humans; D012307:Risk Factors