Evidence map›Paper›PMID 21617543›Full record

ArticleJournal of clinical gastroenterology

Prevalence of Barrett esophagus in first-degree relatives of patients with esophageal adenocarcinoma.

Arpad Juhasz, Sumeet K Mittal, Tommy H Lee, Caishu Deng, Amitabh Chak, Henry T Lynch

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Endoscopic Screening of Barrett's Esophagus.Gastrointestinal endoscopy clinics of North America · 2026
    Review
  4. Review
  5. Identification ofDiagnostics (Basel, Switzerland) · 2024
    Article
  6. Diagnosis and Management of Barrett's Esophagus.Journal of clinical medicine · 2023
    Review
  7. Review
  8. Review
  9. Recent Advances in Screening for Barrett's Esophagus.Current treatment options in gastroenterology · 2018
    Review
  10. Precision care for Barrett's esophagus.Translational gastroenterology and hepatology · 2018
    Review
  11. Screening and Preventive Strategies in Esophagogastric Cancer.Surgical oncology clinics of North America · 2017
    Review
  12. Risk Factors for Barrett's Oesophagus.Gastrointestinal tumors · 2016
    Review
  13. Predicting Barrett's Esophagus in Families: An Esophagus Translational Research Network (BETRNet) Model Fitting Clinical Data to a Familial Paradigm.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2016
    Article
  14. Review
  15. Screening for Barrett's Esophagus.Gastroenterology · 2015
    Review
  16. Screening for Barrett's esophagus and esophageal adenocarcinoma: rationale, recent progress, challenges, and future directions.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2015
    Review
  17. Review
  18. Operable gastro-oesophageal junctional adenocarcinoma: Where to next?World journal of gastrointestinal oncology · 2014
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Arpad JuhaszDepartment of Surgery, Creighton University Medical Center, Omaha, NE, USA.
Sumeet K Mittal
Tommy H Lee
Caishu Deng
Amitabh Chak
Henry T Lynch
Creighton University · USCHI Health Creighton University Medical Center - Bergan Mercy · USCase Comprehensive Cancer Center

Funding

Targeting 15-PGDH in Colon Cancer Prognosis, Prediction, Treatment and PreventionP50CA150964 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MARKOWITZ, SANFORD D. · 2011 to 2022
$24.6M
Familial Barrett's EsophagusR01DK070863 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI CHAK, AMITABH · 2005 to 2011
$4.2M
NIDDK NIH HHS R01 DK070863NIDDK NIH HHS R01DK070863
6 · The paper itself

Abstract

aimThe aim of this study is to determine the prevalence of Barrett esophagus (BE) in first-degree relatives of patients with esophageal adenocarcinoma (EAC) and Barrett high-grade dysplasia (HGD).

methodsAfter Institutional Review Board approval, first-degree relatives of patients with EAC/HGD underwent unsedated ultrathin transnasal endoscopy (UUTNE) with biopsy. BE was suspected if any salmon-colored epithelial tongues were seen above the gastroesophageal junction. A diagnosis of BE was made only if biopsy from these areas confirmed columnar-lined epithelium with intestinal metaplasia.

resultsFrom 23 families, 47 first-degree relatives underwent ultrathin transnasal endoscopy and 1 patient underwent routine upper endoscopy with sedation as part of this study. The mean age of cases was 44.4 years. All patients tolerated the procedure well and there were no procedure-related complications. BE was suspected in 16 (34%) patients and confirmed in 13 of 16 (27.7%) patients. There were 4 long segments (>3 cm) and 9 short segments (<3 cm) of BE.

conclusionThere is a significantly higher than expected prevalence of BE in first-degree relatives of patients with EAC/HGD. This should be taken in to consideration to develop further screening guidelines. Further work is needed to confirm these findings. Unsedated transnasal endoscopy is a safe and well-tolerated method for BE screening.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overBarrett EsophagusBiopsyEndoscopy, Digestive SystemEsophageal NeoplasmsFamilyFemaleHumansMaleMiddle AgedPrevalence

Identifiers

PMID21617543
PMCPMC3189338
OpenAlexW1988560979

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.