Resumen
Background: Barrett´s esophagus (BE) is a disease in which the stratified squamous epithelium of the distal esophagus suffers a change to columnar epithelium. This change is known as intestinal metaplasia. This pathology is related with gastroesophageal reflux disease (GERD), however, lately its presence has been observed in patients without gastroesophageal reflux symptoms, reason why there is an interest in developing some screening method for BE. Objectives: Main purpose for the study was to know de incidence of BE in patients in patients with and without symptoms of GERD from the gastroenterology outpatient service of San Juan de Dios General Hospital. Methods: A retrospective descriptive study to determine the prevalence of BE in patients that underwent an esophageal biopsy during an endoscopy with and without symptoms for GERD. Results: A review of medical records was sampled with a total of 70 patients. Seven (7) were excluded due to a previous diagnosis of esophageal adenocarcinoma. Patients were classified according to their referred symptomatology in previous consultations, in a control group (patients with symptoms of GER, n=32) with a prevalence of 18.75% and an experimental group (patients without symptoms of GER; n=31) with a prevalence of 9.67%. Discussion: The incidence found of near 10% of EB is a statistic significant percentage indicating the need for a screening for Barrett´s esophagus in subjects with no symptoms of GERD with a 95% of reliability.
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Copyright (c) 2018 José P. Galicia, Regin Ligorría
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