The application of prague C and M criteria in the diagnosis of barrett's esophagus in an ethnic chinese population

OBJECTIVES: To investigate the prevalence of endoscopically suspected esophageal metaplasia (ESEM) in an ethnic Chinese population by endoscopic and pathologic evaluation and to assess the utility of Prague C and M criteria. METHODS: Consecutive patients who received esophagogastroduodenoscopy either as a part of therapy for various upper abdominal symptoms or as an annual health check-up were evaluated for the existence of ESEM and Barretts esophagus (BE). Biopsy with standardized random four pieces every 2cm from the four quarters of esophagus with ESEM lesion was performed. BE was defined by histological verification of specialized intestinal metaplasia and gastric metaplasia and was categorized according to the Prague C and M criteria. RESULTS: A total of 5,179 subjects were screened from Jan. 2007 to Dec. 2007. This study enrolled 4,797, including 3,386 for referral endoscopy and 1,411 for screening endoscopy. Prevalence of BE among the referral endoscopy, screening endoscopy, and overall was 1.06, 0.35, and 0.85, respectively. A total of 41 subjects with BE were detected among 93 ESEM subjects. Short segment BE (75.6, n31) was more prevalent than long segment BE (24.4, n10). The proportions of BE from subjects with ESEM by Prague C and M criteria were C1M1 38.9 (1950), C1M2 40 (1230), and C×M3 76.9 (1013). CONCLUSIONS: On the basis of the standardized protocol with random four-quadrate endoscopic biopsy, we have demonstrated the utility of Prague C and M criteria to characterize the BE in an ethnic Chinese population. ? 2009 by the American College of Gastroenterology.