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Esophagus

, Volume 16, Issue 2, pp 168–173 | Cite as

Barrett’s esophagus is negatively associated with eosinophilic esophagitis in Japanese subjects

  • Shingo Takashima
  • Fumio TanakaEmail author
  • Koji Otani
  • Shuhei Hosomi
  • Yasuaki Nagami
  • Noriko Kamata
  • Koichi Taira
  • Hirokazu Yamagami
  • Tetsuya Tanigawa
  • Shinya Fukumoto
  • Toshio Watanabe
  • Yasuhiro Fujiwara
Original Article

Abstract

Background

Although both eosinophilic esophagitis (EoE) and Barrett’s esophagus (BE) are considered to be associated with T helper (Th) 2-mediated immune responses, the association between EoE and BE is unclear. We investigated the clinical relationship between EoE and BE.

Methods

We conducted a single-center retrospective observational study. The study included 95 patients with EoE and randomly selected age- and sex-matched controls who underwent esophagogastroduodenoscopy during a medical health check-up at Osaka City University in a ratio of 1:2 for comparison. We compared the clinical characteristics and the prevalence rate of BE, reflux esophagitis (RE), hiatal hernia, and atrophic gastritis between EoE patients and controls by univariate analysis. Furthermore, we performed multivariate logistic regression analysis to investigate the association of these factors with EoE.

Results

On univariate analysis, the prevalence rate of BE was significantly lower in patients with EoE than in controls (2.1% vs. 13.2%; p = 0.00528). In contrast, the prevalence rate of RE was higher in EoE patients than in controls, but it was not statistically significant (absence and Grades A, B, and C: 74.7%, 18.9%, 5.3%, and 1.1% vs. 83.7%, 12.6%, 3.7%, and 0%; p = 0.193, respectively). Multivariate analysis showed that BE was negatively associated with EoE (odds ratio: 0.132; 95% confidence interval: 0.0302–0.573; p = 0.00686).

Conclusions

BE is negatively associated with EoE in Japanese subjects. The mechanism behind the inverse relationship between EoE and BE should be examined.

Keywords

Eosinophilic esophagitis Barrett’s esophagus Peptic esophagitis Esophagus Eosinophils 

Notes

Acknowledgements

ST, FT, and YF were involved in study conception and design. ST and FT had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of data analysis. KO and SF acquired the data. ST and FT analyzed and interpreted the data. Drafting of the manuscript was performed by ST and FT. Critical revision of the manuscript for important intellectual content was conducted by ST, FT, KO, SH, YN, NK, KT, HY, TT, SF, TW, and YF. All authors have approved the final draft of this manuscript.

Compliance with ethical standards

Ethical Statement

This study was conducted in accordance with the Declaration of Helsinki and its amendments. The study protocol was approved by the Ethics Committee of the Osaka City University Graduate School of Medicine (No. 3951).

Conflict of interest

The authors declare no conflict of interests for this article.

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Copyright information

© The Japan Esophageal Society and Springer Japan KK, part of Springer Nature 2018

Authors and Affiliations

  • Shingo Takashima
    • 1
  • Fumio Tanaka
    • 1
    • 2
    Email author
  • Koji Otani
    • 1
    • 2
  • Shuhei Hosomi
    • 1
  • Yasuaki Nagami
    • 1
  • Noriko Kamata
    • 1
  • Koichi Taira
    • 1
  • Hirokazu Yamagami
    • 1
  • Tetsuya Tanigawa
    • 1
  • Shinya Fukumoto
    • 2
  • Toshio Watanabe
    • 1
  • Yasuhiro Fujiwara
    • 1
  1. 1.Department of Gastroenterology, Graduate School of MedicineOsaka City UniversityOsakaJapan
  2. 2.Premier Preventive Medicine, Graduate School of MedicineOsaka City UniversityOsakaJapan

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