No Barrett's risk in surgery. (Clinical Capsules).
There was a history of gastric surgery in 4% of 366 patients with long-segment Barrett's esophagus, 4% of 650 patients with short-segment Barrett's esophagus, and 5% in 3,047 unaffected controls. The adjusted odds ratio for a history of gastric surgery in a patient with short-segment Barrett's was 0.9 and the odds ratio for a patient with long-segment disease was 0.7 (Gastroenterology 121:1281-85, 2001).
The types of surgery were Billroth I and II gastrectomies and combination vagotomy and pyloroplasty. Male gender, white ethnicity, and presence of hiatus hernia were significantly associated with an elevated risk for Barrett's, according to findings from a logistic regression analysis.
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|Author:||Kubetin, Sally Koch|
|Publication:||Internal Medicine News|
|Date:||Feb 15, 2002|
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