The prevalence of Barrett's esophagus in young individuals is unclear.
Dr Hashem El-Serag and colleagues from Texas estimated the prevalence of suspected Barrett's Esphagus in children and adolescents undergoing endoscopy.
The investigative team conducted a retrospective cross-sectional study of 6731 patients undergoing upper endoscopy in 12 pediatric facilities between 1999 and 2002.
The investigators prospectively collected data from the Pediatric Clinical Outcomes Research Initiative.
|Patients with suspected Barrett's Esophagus were older|
The corresponding histopathologic records were examined.
The team analyzed the distribution of demographic and endoscopic risk factors for cases with or without Barrett's Esophagus.
The investigators used bivariate and multivariable analyses.
Only 17 patients had suspected Barrett's Esophagus.
Intestinal metaplasia was reported in only 9 of these patients.
The investigators found that patients with suspected Barrett's Esophagus were older than patients without Barrett's.
The team noted that hiatus hernia was more commonly recorded in patients with suspected Barrett's Esophagus.
In a logistic regression model, both older age and hiatus hernia were independently associated with suspected Barrett's Esophagus.
Dr El-Serag's team concludes, “Endoscopically suspected Barrett's Esophagus is rare in children and adolescents.”
“Older age and the presence of hiatus hernia are possible risk factors for Barrett's Esophagus in this group.”