Evidence map›Paper›PMID 40952946›Full record

ReviewDigestion2026

Etiology and Pathophysiology of Barrett's Esophagus/Neoplasia.

Naoki Asano, Tomoyuki Koike, Masahiro Saito, Yutaka Hatayama, Yohei Ogata, Xiaoyi Jin, Takeshi Kanno, Waku Hatta, Kaname Uno, Akira Imatani and 1 more

Abstract readReview
In one paragraph

Review in Digestion, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Naoki AsanoDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Tomoyuki KoikeDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan, tkoike@rd5.so-net.ne.jp.
Masahiro SaitoDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Yutaka HatayamaDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Yohei OgataDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Xiaoyi JinDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Takeshi KannoDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Waku HattaDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Kaname UnoDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Akira ImataniDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Atsushi MasamuneDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBarrett's esophagus and its malignant progression to Barrett's adenocarcinoma are becoming increasingly prevalent worldwide, yet their underlying mechanisms remain incompletely understood. SUMMARY: The pathogenesis of Barrett's esophagus and Barrett's adenocarcinoma is multifactorial, involving environmental, genetic, and cellular factors. Chronic acid and bile reflux are well-established contributors, promoting cellular transformation in the esophageal epithelium. Obesity further exacerbates this risk, both indirectly by increasing reflux and directly via proinflammatory adipokines. Recent genetic studies have identified several genetic risk variants, with loss of p53 recognized as critical event in malignant progression. Moreover, the origin of Barrett's esophagus remains under investigation, with proposed sources including cells of esophageal submucosal glands, cells of gastric cardia, and circulating bone marrow-derived cells. KEY MESSAGES: The pathophysiological mechanisms underlying Barrett's esophagus and the development of Barrett's adenocarcinoma are still under active investigation. Understanding these mechanisms is essential for developing effective preventive and therapeutic strategies.

Indexed as

AdenocarcinomaBarrett EsophagusEsophageal NeoplasmsBile RefluxCell Transformation, NeoplasticDisease ProgressionEsophageal MucosaEsophagusGastroesophageal RefluxHumansObesityRisk FactorsBarrett’s adenocarcinomaEsophageal adenocarcinomaGastroesophageal reflux disease

Identifiers

PMID40952946
PMCPMC12795532

What OpenQuestion holds

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LicenceCC BY-NC
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.