The Surveillance of Superficial Barrett's Esophageal Adenocarcinoma in Short-segment Barrett's Esophagus Satoshi Okahara 1 , Hiroaki Takahashi 1 , Takakazu Miyake 1 , Takashi Yokoyama 1 , Nobuaki Sugawara 1 , Shigeru Sugai 1 , Junichi Kodaira 1 , Takeshi Matsumoto 1 , Masashi Koike 1 1Department of Gastroenterology, Keiyukai Daini Hospital, Sapporo, Japan Keyword: Barrett食道腺癌 , SSBE , GERD , 逆流性食道炎 , サーベイランス pp.155-162
Published Date 2021/2/25
DOI https://doi.org/10.11477/mf.1403202244
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 The prevalence of BAC(Barrett's esophageal adenocarcinoma)has gradually increased due to a decrease in the prevalence of H. pylori infection and an increase in the prevalence of GERD. Although SSBE is common in Japan, the carcinogenic rate from SSBE is lower than that of LSBE, and its presence alone cannot be said to be a high-risk factor for BAC. In this paper, we examine the triggers for the discovery of SSBE-derived superficial BAC at our hospital. As it turns out, neither the presence of GERD nor of reflux esophagitis is necessary at the time of the discovery of BAC, and there is a risk of delaying the detection of cancer because of SSBE with either repeated or protracted reflux esophagitis. In terms of surveillance, it is desirable that SSBE with inflammation have shorter endoscopy intervals than SSBE without inflammation.

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