TY - JOUR
T1 - Barrett's esophagus in Latinos undergoing endoscopy for gastroesophageal reflux disease symptoms
AU - Keyashian, K.
AU - Hua, V.
AU - Narsinh, K.
AU - Kline, M.
AU - Chandrasoma, P. T.
AU - Kim, J. J.
PY - 2013/1
Y1 - 2013/1
N2 - Previous studies comparing the prevalence of Barrett's esophagus in Latinos and non-Latino whites are inconsistent. The aim of the study is to compare the prevalence of Barrett's esophagus in Latinos and non-Latino whites and to determine risk factors associated with Barrett's esophagus. Between March 2005 and January 2009, consecutive Latino and non-Latino white patients who underwent endoscopy for primary indication for symptoms of gastroesophageal reflux disease were identified by examining the internal endoscopy database at Los Angeles County+USC Medical Center. Barrett's esophagus was defined by columnar-lined distal esophagus on endoscopy confirmed by intestinal metaplasia on histology. Clinical features and endoscopic findings were retrospectively reviewed. The mean age of the 663 patients was 50±12years, 30% were male, and 92% were Latino. Compared with non-Latino whites, Latinos had more females (72% vs. 46%; P=0.0001) and more Helicobacter pylori infection (53% vs. 24%; P=0.003) but less tobacco use (7% vs. 17%; P=0.01). Overall, 10% (68/663) of all patients had Barrett's esophagus whereas the prevalence was 10% (62/611) among the Latinos and 12% (6/52) among the non-Latino whites (OR 0.9, 95% CI 0.4-2.1; P=0.75). One patient in the Latino group had high-grade dysplasia. On multivariate analysis, male gender (AOR 2.3, 95% CI 1.4-4.1; P=0.002), diabetes (AOR 2.2, 95% CI 1.1-4.5; P=0.03), and age ≥55 years (AOR 2.2, 95% CI 1.3-3.8; P=0.006) were independently associated with Barrett's esophagus; Latino ethnicity remained nonsignificant (AOR 1.1, 95% CI 0.4-2.7; P=0.88). In Latinos undergoing endoscopy for gastroesophageal reflux disease symptoms, the prevalence of Barrett's esophagus was 10%, comparable with non-Latino white controls as well as the prevalence previously reported among Caucasians. In addition to established risk factors, diabetes was associated with Barrett's esophagus.
AB - Previous studies comparing the prevalence of Barrett's esophagus in Latinos and non-Latino whites are inconsistent. The aim of the study is to compare the prevalence of Barrett's esophagus in Latinos and non-Latino whites and to determine risk factors associated with Barrett's esophagus. Between March 2005 and January 2009, consecutive Latino and non-Latino white patients who underwent endoscopy for primary indication for symptoms of gastroesophageal reflux disease were identified by examining the internal endoscopy database at Los Angeles County+USC Medical Center. Barrett's esophagus was defined by columnar-lined distal esophagus on endoscopy confirmed by intestinal metaplasia on histology. Clinical features and endoscopic findings were retrospectively reviewed. The mean age of the 663 patients was 50±12years, 30% were male, and 92% were Latino. Compared with non-Latino whites, Latinos had more females (72% vs. 46%; P=0.0001) and more Helicobacter pylori infection (53% vs. 24%; P=0.003) but less tobacco use (7% vs. 17%; P=0.01). Overall, 10% (68/663) of all patients had Barrett's esophagus whereas the prevalence was 10% (62/611) among the Latinos and 12% (6/52) among the non-Latino whites (OR 0.9, 95% CI 0.4-2.1; P=0.75). One patient in the Latino group had high-grade dysplasia. On multivariate analysis, male gender (AOR 2.3, 95% CI 1.4-4.1; P=0.002), diabetes (AOR 2.2, 95% CI 1.1-4.5; P=0.03), and age ≥55 years (AOR 2.2, 95% CI 1.3-3.8; P=0.006) were independently associated with Barrett's esophagus; Latino ethnicity remained nonsignificant (AOR 1.1, 95% CI 0.4-2.7; P=0.88). In Latinos undergoing endoscopy for gastroesophageal reflux disease symptoms, the prevalence of Barrett's esophagus was 10%, comparable with non-Latino white controls as well as the prevalence previously reported among Caucasians. In addition to established risk factors, diabetes was associated with Barrett's esophagus.
KW - Barrett's esophagus
KW - Gastroesophageal reflux disease
KW - Hispanic
KW - Latino
KW - Screening
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U2 - 10.1111/j.1442-2050.2011.01316.x
DO - 10.1111/j.1442-2050.2011.01316.x
M3 - Article
C2 - 22332868
AN - SCOPUS:84872151872
SN - 1120-8694
VL - 26
SP - 44
EP - 49
JO - Diseases of the Esophagus
JF - Diseases of the Esophagus
IS - 1
ER -