PWE-073 Gastro-oesophageal reflux symptoms and the development of oesophageal adenocarcinoma: comparison with community and reflux oesophagitis controls from MOSES (Midlands Oesophageal Adenocarcinoma Epidemiology Study)

Gut ◽  
2010 ◽  
Vol 59 (Suppl 1) ◽  
pp. A114.1-A114
Author(s):  
S C Cooper ◽  
S Prew ◽  
L Podmore ◽  
N J Trudgill
Keyword(s):  
Reflux Oesophagitis ◽  
Oesophageal Reflux ◽  
Oesophageal Adenocarcinoma ◽  
Epidemiology Study ◽  
Reflux Symptoms ◽  
Reflux Œsophagitis

M1968 Gastro-Oesophageal Reflux Symptoms and the Development of Oesophageal Adenocarcinoma: Results from MOSES (Midlands Oesophageal Adenocarcinoma Epidemiology Study)

2009 ◽  
Vol 136 (5) ◽  
pp. A-457-A-458
Author(s):  
Sheldon C. Cooper ◽  
Sandra Prew ◽  
Laura K. Podmore ◽  
Peter Nightingale ◽  
Nigel J. Trudgill
Keyword(s):  
Oesophageal Reflux ◽  
Oesophageal Adenocarcinoma ◽  
Epidemiology Study ◽  
Reflux Symptoms

Dynamic Scintigraphy of the Oesophagus in the Evaluation of Reflux Oesophagitis

1990 ◽  
Vol 29 (05) ◽  
pp. 204-209
Author(s):  
B. Ugarković ◽  
D. Ivančević ◽  
D. Babić ◽  
Ž. Babić
Keyword(s):  
Reflux Oesophagitis ◽  
Oesophageal Reflux ◽  
Low Grade ◽  
Time Activity ◽  
The Difference ◽  
Asymptomatic Subjects ◽  
Oesophageal Transit ◽  
Dynamic Scintigraphy ◽  
Positive Results ◽  
Reflux Œsophagitis

A method is presented which combines gastro-oesophageal reflux quantification and oesophageal transit measurement so as to differentiate true reflux from residual oesophageal activity. A group of 33 subjects with gastro-oesophageal reflux symptoms and endoscopically confirmed reflux oesophagitis and a group of 21 asymptomatic subjects with normal oesophageal, gastric and duodenal endoscopic findings were examined. The subjects were given 37 MBq 99mTc-Sn-colloid in saline orally and then scintiscanned dynamically. The gastro-oesophageal quantification was done after transit measurement and after the oesophageal time activity (to detect residual oesophageal activity) reached its minimum. The difference in the reflux indices between the two groups was highly significant. In low-grade oesophagitis measured reflux was lower than in higher grades of disease. Only 4.7% false-positive results were observed with a specificity of 95%, indicating that this method may be superior to methods published earlier.

scholarly journals Dietary inflammatory index and risk of reflux oesophagitis, Barrett’s oesophagus and oesophageal adenocarcinoma: a population-based case–control study

2017 ◽  
Vol 117 (9) ◽  
pp. 1323-1331 ◽  
Author(s):  
Nitin Shivappa ◽  
James R. Hebert ◽  
Lesley A. Anderson ◽  
Martha J. Shrubsole ◽  
Liam J. Murray ◽  
...  
Keyword(s):  
Reflux Oesophagitis ◽  
Cell Cancer ◽  
Acid Reflux ◽  
Population Based ◽  
Barrett’S Oesophagus ◽  
Oesophageal Adenocarcinoma ◽  
Dietary Inflammatory Index ◽  
Barrett's Oesophagus ◽  
Inflammatory Index ◽  
Reflux Œsophagitis

AbstractThe dietary inflammatory index (DIITM) is a novel composite score based on a range of nutrients and foods known to be associated with inflammation. DII scores have been linked to the risk of a number of cancers, including oesophageal squamous cell cancer and oesophageal adenocarcinoma (OAC). Given that OAC stems from acid reflux and that the oesophageal epithelium undergoes a metaplasia-dysplasia transition from the resulting inflammation, it is plausible that a high DII score (indicating a pro-inflammatory diet) may exacerbate risk of OAC and its precursor conditions. The aim of this analytical study was to explore the association between energy-adjusted dietary inflammatory index (E-DIITM) in relation to risk of reflux oesophagitis, Barrett’s oesophagus and OAC. Between 2002 and 2005, reflux oesophagitis (n219), Barrett’s oesophagus (n220) and OAC (n224) patients, and population-based controls (n256), were recruited to the Factors influencing the Barrett’s Adenocarcinoma Relationship study in Northern Ireland and the Republic of Ireland. E-DII scores were derived from a 101-item FFQ. Unconditional logistic regression analysis was applied to determine odds of oesophageal lesions according to E-DII intakes, adjusting for potential confounders. High E-DII scores were associated with borderline increase in odds of reflux oesophagitis (OR 1·87; 95 % CI 0·93, 3·73), and significantly increased odds of Barrett’s oesophagus (OR 2·05; 95 % CI 1·22, 3·47), and OAC (OR 2·29; 95 % CI 1·32, 3·96), when comparing the highest with the lowest tertiles of E-DII scores. In conclusion, a pro-inflammatory diet may exacerbate the risk of the inflammation-metaplasia-adenocarcinoma pathway in oesophageal carcinogenesis.

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