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Effect of Segment Length on Risk for Neoplastic Progression in Patients with Barrett Esophagus

Rebecca E. Rudolph, MD, MPH; Thomas L. Vaughan, MD, MPH; Barry E. Storer, PhD; Rodger C. Haggitt, MD; Peter S. Rabinovitch, MD, PhD; Douglas S. Levine, MD; and Brian J. Reid, MD, PhD
[+] Article and Author Information

From Fred Hutchinson Cancer Research Center and University of Washington, Seattle, Washington


Acknowledgments: The authors thank Dr. Patricia Blount for her contributions to patient care in the Seattle Barrett's Esophagus Project, Ms. Carissa Sanchez for flow cytometric analyses, Mr. David Cowan and Ms. Janine Kikuchi for database management, Ms. Christine Karlsen and Ms. Sue Irvine for their contributions as patient care coordinators, and Ms. Tricia Christopherson for management of patient interviews.

Grant Support: By National Institutes of Health grants R01 CA61202 and R25 CA57734.

Requests for Single Reprints: Rebecca E. Rudolph, MD, MPH, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, MP-474, Box 19024, Seattle, WA 98109-1024.

Requests To Purchase Bulk Reprints (minimum, 100 copies): the Reprints Coordinator; phone, 215-351-2657; e-mail, reprints@mail.acponline.org.

Current Author Addresses: Drs. Rudolph, Vaughan, Storer, and Reid: Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, MP-474, Box 19024, Seattle, WA 98109-1024.

Dr. Haggitt: University of Washington Medical Center, Pathology, BB-210B, Box 356100, Seattle, WA 98195.

Dr. Rabinovitch: University of Washington, K-081 Health Sciences Pathology, Box 357470, Seattle, WA 98195.

Dr. Levine: AstraZeneca Pharmaceuticals, 725 Chesterbrook Boulevard, E-2C, Wayne, PA 19087-5677.

Author Contributions: Conception and design: R.E. Rudolph, T.L. Vaughan, D.S. Levine, B.J. Reid.

Analysis and interpretation of the data: R.E. Rudolph, T.L. Vaughan, B.E. Storer, R.C. Haggitt, P.S. Rabinovitch, D.S. Levine, B.J. Reid.

Drafting of the article: R.E. Rudolph, T.L. Vaughan.

Critical revision of the article for important intellectual content: R.E. Rudolph, T.L. Vaughan, B.E. Storer, R.C. Haggitt, P.S. Rabinovitch, D.S. Levine, B.J. Reid.

Final approval of the article: R.E. Rudolph, T.L. Vaughan, B.E. Storer, R.C. Haggitt, P.S. Rabinovitch, D.S. Levine, B.J. Reid.

Provision of study materials or patients: T.L. Vaughan, R.C. Haggitt, D.S. Levine, B.J. Reid.

Statistical expertise: R.E. Rudolph, T.L. Vaughan, B.E. Storer.

Obtaining of funding: T.L. Vaughan, P.S. Rabinovitch, B.J. Reid.

Administrative, technical, or logistic support: T.L. Vaughan, P.S. Rabinovitch, B.J. Reid.

Collection and assembly of data: R.E. Rudolph, T.L. Vaughan, R.C. Haggitt, P.S. Rabinovitch, D.S. Levine, B.J. Reid.


Ann Intern Med. 2000;132(8):612-620. doi:10.7326/0003-4819-132-8-200004180-00003
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In Barrett esophagus, the normal stratified squamous epithelium of the esophagus is replaced by specialized columnar epithelium in response to the tissue injury caused by chronic gastroesophageal reflux (1). Barrett esophagus is present in approximately 5% to 15% of persons with clinical indications for elective upper endoscopy (25). The results of several recent studies suggest that most patients with Barrett esophagus have short-segment (<3 cm) Barrett esophagus (27).

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Summary for Patients

Risk for Cancer in Patients with Barrett Esophagus

The summary below is from the full report titled “Effect of Segment Length on Risk for Neoplastic Progression in Patients with Barrett Esophagus.”. It is in the 18 April 2000 issue of Annals of Internal Medicine (volume 132, pages 612-620). The authors are R.E. Rudolph, T.L. Vaughan, B.E. Storer, R.C. Haggitt, P.S. Rabinovitch, D.S. Levine, and B.J. Reid.

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