Clinical Gastroenterology Vol.29 No.6(8-1)

Theme Diagnosis and Treatment of Barrett's Esophagus : up-to-date
Title Drug Treatment for Barrett's Esophagus
Publish Date 2014/06
Author Satoshi Harada Department of Internal Medicine II, Osaka Medical College
Author Toshihisa Takeuchi Department of Internal Medicine II, Osaka Medical College
Author Kazuhiro Ota Department of Internal Medicine II, Osaka Medical College
Author Shoko Edogawa Department of Internal Medicine II, Osaka Medical College
Author Yuichi Kojima Department of Internal Medicine II, Osaka Medical College
Author Kazuhide Higuchi Department of Internal Medicine II, Osaka Medical College
[ Summary ] Barrett's esophagus is known to be a risk factor for esophageal adenocarcinoma. This condition has increased in Japan with the westernization of eating habits and declines in infection rates from Helicobacter pylori. NSAIDs, such as aspirin, and COX-2 are being investigated to prevent the incidence of Barrett's esophagus. In western countries, many clinical studies related to prevention of Barrett's esophagus and esophageal adenocarcinoma have been performed. These studies have demonstrated that NSAIDs or PPIs reduce the incidence of Barrett's esophagus and esophageal adenocarcinoma. It is expected that the incidence of esophageal adenocarcinoma will increase in Japan because of the increase of Barrett's esophagus. Therefore, even in Japan, investigations related to prevention of Barrett's esophagus and esophageal adenocarcinoma are required.
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