Diagnosis and Management of Barrett’s Esophagus: A Retrospective Study Comparing the Endoscopic Assessment of Early Esophageal Lesions in the Community versus a Specialized Center
Joint Authors
Enns, Robert
Rayner-Hartley, Erin
Takach, Oliver
Galorport, Cherry
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-03-29
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Specialized endoscopic evaluation for patients with Barrett’s esophagus (BE) is well supported; however, no studies have shown that centers with expertise provide better quality care for BE with high-grade dysplasia or early adenocarcinoma.
In this study, the investigators aimed to evaluate the management and clinical course for patients treated in a community practice versus a specialized BE center.
Methods.
A retrospective analysis of referrals from the community to our specialized center for evaluation of BE at St Paul’s Hospital Division of Gastroenterology between January 2007 and February 2014 was performed.
Subjects were patients who were referred for BE and dysplasia and subsequently reevaluated by endoscopy.
The pathology and endoscopy reports from the community and our center were reviewed.
Inclusion criteria were as follows: being ≥ 19 years old and pathologic diagnosis of BE or dysplasia in the community.
Exclusion criteria were as follows: incomplete pathology data or incomplete endoscopy reports from the community physicians.
Results.
A total of 77 patients were reviewed.
The staging of 28.9% of patients referred from the community was changed from the initial pathological diagnosis.
18.4% of these patients were upstaged.
Using Fischer’s exact test, we showed that, in our specialized center, endoscopic impressions correlated significantly with pathology results (p<0.0001).
American Psychological Association (APA)
Rayner-Hartley, Erin& Takach, Oliver& Galorport, Cherry& Enns, Robert. 2016. Diagnosis and Management of Barrett’s Esophagus: A Retrospective Study Comparing the Endoscopic Assessment of Early Esophageal Lesions in the Community versus a Specialized Center. Canadian Journal of Gastroenterology and Hepatology،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1099892
Modern Language Association (MLA)
Rayner-Hartley, Erin…[et al.]. Diagnosis and Management of Barrett’s Esophagus: A Retrospective Study Comparing the Endoscopic Assessment of Early Esophageal Lesions in the Community versus a Specialized Center. Canadian Journal of Gastroenterology and Hepatology No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1099892
American Medical Association (AMA)
Rayner-Hartley, Erin& Takach, Oliver& Galorport, Cherry& Enns, Robert. Diagnosis and Management of Barrett’s Esophagus: A Retrospective Study Comparing the Endoscopic Assessment of Early Esophageal Lesions in the Community versus a Specialized Center. Canadian Journal of Gastroenterology and Hepatology. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1099892
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099892