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Differences in the endoscopic detection rates of Barrett’s esophagus using the Japanese and Western criteria: a pilot study

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Abstract

Background and aim

Identification of the esophageal gastric junction (EGJ) is of crucial importance for the consistent detection of Barrett’s esophagus (BE). In Japan, the distal end of the lower esophageal palisade vessels is used to define the EGJ. However, in Western countries, the EGJ is defined as the proximal margin of the gastric folds. In this prospective study, we compared the variation in endoscopic diagnosis of BE using the Japanese criteria (J-criteria) and the Prague C & M criteria (P-criteria) as a landmark of the EGJ.

Methods

A total of 82 patients were enrolled in this study. The patients were referred to the Veterans Affair Palo Alto Health Care System from May 2008 to July 2008. We assessed the recognition rates of the EGJ and the detection rates of endoscopic BE, first using the J-criteria and later using the P-criteria by the American endoscopists.

Results

Identification rate of EGJ was 87.8 % (72/82) using the J-criteria and 97.5 % (80/82) using the P-criteria (P = 0.008). 28.0 % (23/82) of the cases were endoscopically diagnosed as BE using the J-criteria, whereas 17.0 % (14/82) of the cases were diagnosed as BE using the P-criteria (P = 0.049). There was a significant difference in the detection rates between the J-criteria and P-criteria.

Conclusions

We showed the different ratios in the endoscopic detection of BE using the J-criteria and P-criteria. The difference in the prevalence rate of BE in Japan and Western countries can be partly attributed to differences in the endoscopic diagnose of BE.

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Acknowledgments

The authors thank Dr. Shai Friedland, Tohru Sato, the attending fellows and all of the medical staff in the section of GI endoscopy, Veterans Affairs Palo Alto Health Care System, USA for their cooperation. The authors are also indebted to Dr. Helena Popiel (PhD, Lecturer) and Dr. Edward Barroga (PhD, Associate Professor) of the Department of International Medical Communications of Tokyo Medical University for editing and reviewing the English manuscript.

Ethical Statement

The study reported involved human participants and it meets the ethical principles of the Declaration of Helsinki (WMA 2008).

Conflict of interest

The authors report that there are no disclosures relevant to this publication.

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Authors and Affiliations

  1. Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan

    Chika Kusano, Takuji Gotoda & Fuminori Moriyasu

  2. Division of Gastroenterology, Department of Medicine, Veterans Affairs Palo Alto Health Care System, Stanford University School of Medicine, Palo Alto, CA, USA

    Tonya Kaltenbach & Roy Soetikno

Authors
  1. Chika Kusano
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  2. Takuji Gotoda
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  3. Tonya Kaltenbach
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  4. Roy Soetikno
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  5. Fuminori Moriyasu
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Corresponding author

Correspondence to Chika Kusano.

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Kusano, C., Gotoda, T., Kaltenbach, T. et al. Differences in the endoscopic detection rates of Barrett’s esophagus using the Japanese and Western criteria: a pilot study. Esophagus 13, 25–29 (2016). https://doi.org/10.1007/s10388-015-0483-7

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  • DOI: https://doi.org/10.1007/s10388-015-0483-7

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