Gastroesophageal reflux disease and non-esophageal cancer

来源 :World Journal of Gastroenterology | 被引量 : 0次 | 上传用户:asdf1aasdf
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The association of gastroesophageal reflux disease(GERD) and esophageal cancer is well known.The carcinogenic properties of the gastroduodenal contents may also lead to cancer in target organs for GERD especially considering that they do not have intrinsic protective mechanisms as found in the esophagus.This review focuses on the putative relation between GERD and non-esophageal cancer.Most of the papers reviewed are far from ideal to prove the relationship of extraesophageal cancer and GERD since a small number ofpatients is presented,most do not control cases based on tobacco usage and obesity,and the diagnosis of GERD is variable,not always from an objective measurement such as p H monitoring but relying on symptoms in most reports.Nevertheless,head and neck and lung cancer have a growing incidence parallel to GERD and a shift towards non-smoking,female gender and adenocarcinoma(compared to squamous cell carcinoma) is arising,similar to the example of esophageal cancer with the exception of the female gender. The association of gastroesophageal reflux disease (GERD) and esophageal cancer is well known. Carcinogenic properties of the gastroduodenal contents may also lead to cancer in target organs for GERD especially considered that they do not have intrinsically protective mechanisms as found in the esophagus.This review focuses on the putative relation between GERD and non-esophageal cancer. Most of the papers reviewed are far from ideal to prove the relationship of extraesophageal cancer and GERD since a small number of patients is presented, most do not control cases based on tobacco usage and obesity, and the diagnosis of GERD is variable, not always from an objective measurement such as p H monitoring but relying on symptoms in most reports.Nevertheless, head and neck and lung cancer have a growing incidence parallel to GERD and a shift towards non- smoking, female gender and adenocarcinoma (compared to squamous cell carcinoma) is arising, similar to the example of esophageal cancer with the exce ption of the female gender.
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