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Barrett Esophagus in Asia: Same Disease with Different Pattern

机译:亚洲的Barrett食管:不同疾病的同一种疾病

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摘要

Barrett esophagus (BE) is considered to develop as a result of chronic gastroesophageal reflux disease (GERD) and to predispose to esophageal adenocarcinoma (EAC). However, the disease pattern of BE in Asia differs from that observed in the West. For example, in the West, the prevalence rates of BE and EAC have progressively increased, whereas although the prevalence rate of GERD is increasing in Asia, the prevalence rates of BE and EAC have remained low in most Asian countries. GERD, hiatal hernia, old age, male sex, abdominal obesity (visceral obesity), smoking, alcohol consumption, and kyphosis are known risk factors for BE in Asia, and most Asian patients have short-segment BE. Helicobacter pylori infection is more prevalent in Asia than in the West. We suggest larger studies with a prospective design be conducted to elaborate further the different patterns of BE in Asia.
机译:Barrett食道(BE)被认为是慢性胃食管反流病(GERD)的结果,并易患食道腺癌(EAC)。但是,亚洲的BE疾病模式与西方国家不同。例如,在西方,BE和EAC的患病率逐渐增加,而在亚洲,尽管GERD的患病率正在增加,但在大多数亚洲国家,BE和EAC的患病率仍然很低。 GERD,食管裂孔疝,老年,男性,腹部肥胖(内脏肥胖),吸烟,饮酒和驼背是亚洲已知的BE危险因素,大多数亚洲患者患有BE短段。幽门螺杆菌感染在亚洲比西方更普遍。我们建议采用前瞻性设计进行更大的研究,以进一步阐述亚洲BE的不同模式。

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