Comparison of reflux esophagitis and its complications between African Americans and non-Hispanic whites

Kenneth J Vega, Sian Chisolm, Mazen M. Jamal

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Aim: To determine the effect of ethnicity on the severity of reflux esophagitis (RE) and its complications. Methods: A retrospective search of the endoscopy database at the University of Florida Health Science Center/Jacksonville for all cases of reflux esophagitis and its complications from January 1 to March 31, 2001 was performed. Inclusion criteria were endoscopic evidence of esophagitis using the LA classification, reflux related complications and self-reported ethnicity. The data obtained included esophagitis grade, presence of a hiatal hernia, esophageal ulcer, stricture and Barrett's esophagus, and endoscopy indication. Results: The search identified 259 patients with RE or its complications, of which 171 were non-Hispanic whites and 88 were African Americans. The mean ages and male/female ratios were similar in the two groups. RE grade, esophageal ulcer, stricture and hiatal hernia frequency were likewise similar in the groups. Barrett's esophagus was present more often in non-Hispanic whites than in African Americans (15.8% vs 4.5%; P < 0.01). Heartburn was a more frequent indication for endoscopy in non-Hispanic whites with erosive esophagitis than in African Americans (28.1% vs 7.9%; P < 0.001). Conclusion: Distribution of RE grade and frequency of reflux-related esophageal ulcer, stricture and hiatal hernia are similar in non-Hispanic whites and African Americans. Heartburn was more frequently and nausea/vomiting less frequently reported as the primary endoscopic indication in non-Hispanic whites compared with African Americans with erosive esophagitis or its complications. African Americans have a decreased prevalence of Barrett's esophagus compared with non-Hispanic whites.

Original languageEnglish (US)
Pages (from-to)2878-2881
Number of pages4
JournalWorld Journal of Gastroenterology
Volume15
Issue number23
DOIs
StatePublished - Jun 21 2009
Externally publishedYes

Fingerprint

Peptic Esophagitis
Hiatal Hernia
African Americans
Esophagitis
Esophageal Stenosis
Barrett Esophagus
Endoscopy
Ulcer
Heartburn
Nausea
Vomiting
Databases
Health

Keywords

  • African American
  • Barrett's esophagus
  • Hiatal hernia
  • Reflux esophagitis

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Comparison of reflux esophagitis and its complications between African Americans and non-Hispanic whites. / Vega, Kenneth J; Chisolm, Sian; Jamal, Mazen M.

In: World Journal of Gastroenterology, Vol. 15, No. 23, 21.06.2009, p. 2878-2881.

Research output: Contribution to journalArticle

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AB - Aim: To determine the effect of ethnicity on the severity of reflux esophagitis (RE) and its complications. Methods: A retrospective search of the endoscopy database at the University of Florida Health Science Center/Jacksonville for all cases of reflux esophagitis and its complications from January 1 to March 31, 2001 was performed. Inclusion criteria were endoscopic evidence of esophagitis using the LA classification, reflux related complications and self-reported ethnicity. The data obtained included esophagitis grade, presence of a hiatal hernia, esophageal ulcer, stricture and Barrett's esophagus, and endoscopy indication. Results: The search identified 259 patients with RE or its complications, of which 171 were non-Hispanic whites and 88 were African Americans. The mean ages and male/female ratios were similar in the two groups. RE grade, esophageal ulcer, stricture and hiatal hernia frequency were likewise similar in the groups. Barrett's esophagus was present more often in non-Hispanic whites than in African Americans (15.8% vs 4.5%; P < 0.01). Heartburn was a more frequent indication for endoscopy in non-Hispanic whites with erosive esophagitis than in African Americans (28.1% vs 7.9%; P < 0.001). Conclusion: Distribution of RE grade and frequency of reflux-related esophageal ulcer, stricture and hiatal hernia are similar in non-Hispanic whites and African Americans. Heartburn was more frequently and nausea/vomiting less frequently reported as the primary endoscopic indication in non-Hispanic whites compared with African Americans with erosive esophagitis or its complications. African Americans have a decreased prevalence of Barrett's esophagus compared with non-Hispanic whites.

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