Document Detail


Ischemic heart disease, factor predisposing to Barrett's adenocarcinoma: A case control study.
MedLine Citation:
PMID:  25133047     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
AIM: To define the significance of ischemic heart disease (IHD) (stable angina to infarction) co-existance in Barrett esophagus (BE) patients and patients with esophageal adenocarcinoma (AdE).
METHODS: All BE/AdE patients in Blackpool-Wyre-Fylde area and Trikala prefecture identified from medical records. Patient clinical details were obtained from hospital and General Practitioner records. Additional information was gathered from validated questionnaire.
RESULTS: Forty (33%) AdE and 83 (19%) BE patients had IHD (P = 0.002). Eighteen (15%) AdE and 34 (8%) BE patients had suffered a myocardial infarction (P = 0.03). Three (3%) AdE and 7 (2%) BE patients had severe heart failure (P = 0.82). Thirty-nine (47%) BE with IHD and 8 (20%) AdE patients with IHD consumed aspirin daily (P = 0.004). Seventh-seven (93%) BE patients with IHD and 36 (90%) AdE patients with IHD were on statins (P = 0.86). Logistic regression analysis: AdE was more frequent in the elderly, with long term reflux, long BE and concurrent IHD (odds ratio: 2.086, P = 0.001) not consuming statins. Eighteen (22%) BE patients with IHD [16 (84%) with myocardial infarction] vs 33 (10%) without IHD died from non-neoplastic causes within 24 mo from BE diagnosis (P = 0.005).
CONCLUSION: IHD is more prevalent in AdE than BE patients. Increased prevalence of AdE is related with the presence of myocardial infarction but not severe heart failure, possibly because patients with BE and severe IHD have low life expectancy.
Authors:
Panagiotis Tsibouris; Mark T Hendrickse; Panagiota Mavrogianni; Peter Et Isaacs
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastrointestinal pharmacology and therapeutics     Volume:  5     ISSN:  2150-5349     ISO Abbreviation:  World J Gastrointest Pharmacol Ther     Publication Date:  2014 Aug 
Date Detail:
Created Date:  2014-08-18     Completed Date:  2014-08-18     Revised Date:  2014-08-20    
Medline Journal Info:
Nlm Unique ID:  101547456     Medline TA:  World J Gastrointest Pharmacol Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  183-90     Citation Subset:  -    
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