Sanfey H, Hamilton S R, Smith R R, Cameron J L
Surg Gynecol Obstet. 1985 Dec;161(6):570-4.
Between 1951 and 1983, 32 patients who had adenocarcinoma develop in Barrett's esophagus were identified at our institution. Twenty-nine patients were male (91 per cent) and 29 were white. Amongst the 23 patients in whom the relevant data were available, 78 per cent admitted to regular alcohol intake and 78 per cent smoked. Only one of these patients did not smoke or drink alcohol. Surprisingly, only 61 per cent of the patients had symptoms suggestive of gastroesophageal reflux and reflux was demonstrated roentgenographically in only 41 per cent. Twenty-one of the patients underwent esophagogastrectomy. Life table analysis revealed a survival rate of 34 per cent at two years and 14.8 per cent at five years.
1951年至1983年间,我院共确诊32例在巴雷特食管基础上发生腺癌的患者。其中29例为男性(占91%),均为白人。在有相关数据的23例患者中,78%的患者承认有规律饮酒,78%的患者吸烟。这些患者中只有1人既不吸烟也不饮酒。令人惊讶的是,只有61%的患者有胃食管反流的症状,而通过X线检查证实有反流的患者仅占41%。21例患者接受了食管胃切除术。生命表分析显示,两年生存率为34%,五年生存率为14.8%。