Prevalence of intestinal metaplasia in the distal oesophagus, oesophagogastric junction and gastric cardia in symptomatic patients in north-east Italy: a prospective, descriptive survey
References (25)
- et al.
Increasing incidence of adenocarcinoma of the esophagus and esophagogastric junction
Gastroenterology
(1993) - et al.
Clinical epidemiologic and morphologic comparison between adenocarcinomas arising in Barrett's esophageal mucosa and in the gastric cardia
Gastroenterology
(1984) - et al.
Comparative features of esophageal and gastric adenocarcinoma: recent changes in type and frequency
Hum Pathol
(1986) - et al.
Barrett's esophagus: development of dysplasia and adenocarcinoma
Gastroenterology
(1989) - et al.
Adenocarcinoma of the esophagogastric junction and Barrett's esophagus
Gastroenterology
(1995) - et al.
Comparative study of intestinal metaplasia and mucin staining at the cardia and esophagogastric junction in 225 symptomatic patients presenting for diagnostic open-access gastroscopy
Am J Gastroenterol
(1999) - et al.
Intestinal and pancreatic metaplasia at the esophagogastric junction in patients without Barrett's esophagus
Am J Gastroenterol
(2000) - et al.
Prevalence of metaplasia at the gastro-oesophageal junction
Lancet
(1994) - et al.
Barrett's esophagus, the prevalence of short and long segments in reflux patients
Gastroenterology
(1995) - et al.
Specialized intestinal metaplasia, dysplasia and cancer of the esophagus and esophagogastric junction: prevalence and clinical data
Gastroenterology
(1999)
Specialized columnar epithelium of the esophagogastric junction: prevalence and associations. The Central Finland Endoscopy Study Group
Am J Gastroenterol
Regeneration of cardiac type mucosa and acquisition of Barrett mucosa after esophagogastrostomy
Gastroenterology
Cited by (25)
Multicenter randomized controlled trial comparing forceps biopsy sampling with wide-area transepithelial sampling brush for detecting intestinal metaplasia and dysplasia during routine upper endoscopy
2022, Gastrointestinal EndoscopyCitation Excerpt :IM of the GEJ is common and is reported to be present in up to 20% of subjects presenting for routine upper endoscopy.16 The frequency of finding IM at a normal GEJ is likely related to the population of patients studied and will be increased in areas with a high prevalence of H pylori infection or gastric IM from other etiologies.17 The prevalence of H pylori in our study was low (3.7%), as was the frequency of IM on biopsy specimens of the antrum (4.2%).
Intestinal metaplasia of the gastric cardia: findings in patients with versus without Barrett's esophagus
2019, Gastrointestinal EndoscopyCitation Excerpt :The most recent American College of Gastroenterology guideline on Barrett’s esophagus (BE) states that IM of cardia is found in up to 20% of asymptomatic patients who undergo endoscopy.1,2 It also states that the presence of IM cardia is similar in patients with BE and controls1,3 and that IM cardia is associated with Helicobacter pylori.1,4 These conclusions are based on studies that were published more than 17 years ago when the use of high-definition white-light endoscopy (HDWLE) and electronic chromoendoscopic imaging were not routine and do not appear to have been used in these studies.
Barrett's esophagus: A comprehensive review for the internist
2018, Disease-a-MonthCitation Excerpt :In addition, intestinal metaplasia is common in the gastric cardia and a complete intestinal metaplasia is more often associated with Helicobacter pylori infection. However, there is not an increased risk of esophageal adenocarcinoma as seen with incomplete IM, which may benefit from further surveillance for progression to dysplasia.19 The Prague classification is a validated and reliable system for describing segments consistent with BE.20
Care of the Postablation Patient: Surveillance, Acid Suppression, and Treatment of Recurrence
2017, Gastrointestinal Endoscopy Clinics of North AmericaCitation Excerpt :IM of the cardia is common in the general population and can be seen in up to 20% of asymptomatic individuals.14 To date, the natural history of IM at the GEJ is thought to be different than that of the tubular esophagus, as it is more likely to be associated with Helicobacter pylori infection and not with EAC.14–16 As such, biopsy of a normal or slightly irregular GEJ found incidentally during an endoscopy for GERD is not recommended.17
Barrett's esophagus: diagnosis and management
2017, Gastrointestinal EndoscopyCitation Excerpt :As a result, the recommended number of random biopsy samples is 4 for every 2 cm of BE segment length or 8 for segment length <2 cm in those with suspected BE.28 In addition, a normal or mildly irregular Z-line should not call for routine biopsy, because IM of the cardia is common in patients with chronic GERD,29 and chronic GERD has not been definitively demonstrated to imply an increased risk of EAC.30,31 In terms of BE classification, a segment >3 cm is defined as long-segment BE, and a segment <3 cm is defined as short-segment BE.
Control of intra-oesophageal and intra-gastric pH with proton pump inhibitors in patients with Barrett's oesophagus
2005, Digestive and Liver Disease