Gastrointestinal Radiology

, Volume 13, Issue 1, pp 1–5

Barrett's esophagus in scleroderma: Increased prevalence and radiographic findings

  • Michael P. Recht
  • Marc S. Levine
  • David A. Katzka
  • James C. Reynolds
  • Scott H. Saul
Article

Abstract

Ten of 27 patients (37%) with scleroderma who underwent endoscopy at our hospital between 1980 and 1984 for symptoms of reflux esophagitis had biopsy-proven Barrett's esophagus. Two of those 10 patients had esophageal adenocarcinomas. In a blinded review of esophagrams (all but 2 using double-contrast technique) from 16 of the 27 patients, only 1 patient was thought to be at high risk for Barrett's esophagus due to a high esophageal stricture with an adjacent reticular pattern of the mucosa. The latter patient had biopsy-proven Barrett's mucosa. Eight patients were thought to be at moderate risk for Barrett's esophagus due to reflux esophagitis and/or distal strictures in 6 and polypoid intraluminal masses in 2. Three of the 6 patients with esophagitis and/or strictures had Barrett's esophagus, and both patients with masses had adenocarcinomas arising in Barrett's mucosa. Finally, 7 patients who had no esophagitis or strictures were thought to be at low risk for Barrett's esophagus. None of those 7 had histologic evidence of Barrett's mucosa. Thus, the major value of double-contrast esophagography is its ability to classify patients into high-, moderate-, and low-risk for Barrett's esophagus to determine the relative need for endoscopy and biopsy in these patients.

Key words

Esophagus, radiography Barrett's esophagus Scleroderma, complications 

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Copyright information

© Springer-Verlag New York Inc. 1988

Authors and Affiliations

  • Michael P. Recht
    • 1
  • Marc S. Levine
    • 1
  • David A. Katzka
    • 2
  • James C. Reynolds
    • 2
  • Scott H. Saul
    • 3
  1. 1.Department of RadiologyHospital of the University of PennsylvaniaPhiladelphiaUSA
  2. 2.Department of MedicineHospital of the University of PennsylvaniaPhiladelphiaUSA
  3. 3.Department of PathologyHospital of the University of PennsylvaniaPhiladelphiaUSA

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