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Benign glycogenic acanthosis lesions of the esophagus.

Abstract

BACKGROUND/AIMS
Glycogenic acanthosis is described as benign thickening of the esophageal squamous epithelium of unknown etiology. Although its etiology is unknown, it has been reported that glycogenic acanthosis may be related to gastroesophageal reflux and hiatal hernia. The aim of the present study was to review the patients who were diagnosed with glycogenic acanthosis on upper gastrointestinal endoscopy and to determine whether there is any association between glycogenic acanthosis and gastroesophageal reflux and hiatal hernia.
MATERIAL AND METHODS
A total of 504 patients who underwent upper gastrointestinal endoscopy for evaluation of non-ulcer dyspepsia were reviewed retrospectively.
RESULTS
Glycogenic acanthosis was detected in 143 (28.3%) of those 504 patients. Of the 143 patients, 82 (57.3%) were male and 61 (42.7%) were female. Patients with glycogenic acanthosis were aged 20-83 years. Gastroesophageal reflux was detected in 50 (34.9%) cases with glycogenic acanthosis, while hiatal hernia was detected in 30 (20.9%) cases. Gastroesophageal reflux was detected in 102 (28.2%) control subjects, while hiatal hernia was detected in 50 (13.8%). Hiatal hernia was significantly higher in glycogenic acanthosis patients than in controls subjects (p<0.05). Glycogenic acanthosis patients had higher gastroesophageal reflux than seen in controls subjects, but the difference between groups was not statistically significant (p>0.05).
CONCLUSIONS
Our results suggest that glycogenic acanthosis is primarily an age-related disease. We demonstrated that glycogenic acanthosis may be associated with gastroesophageal reflux and hiatal hernia. Further studies are necessary to confirm these findings.

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  • Publisher Full Text
  • Authors

    Nazligül Y, Aslan M, Esen R, Yeniova AÖ, Kefeli A, Küçükazman M, Dülger AC, Celik Y

    Institution

    Yüzüncü Yıl University, Medical Faculty Department of Internal Medicine Van, Turkey.

    Source

    The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology 23:3 2012 Jun pg 199-202

    MeSH

    Adult
    Age Factors
    Aged
    Aged, 80 and over
    Case-Control Studies
    Endoscopy, Gastrointestinal
    Esophageal Diseases
    Female
    Gastroesophageal Reflux
    Glycogen
    Hernia, Hiatal
    Humans
    Hyperplasia
    Male
    Middle Aged
    Retrospective Studies
    Young Adult

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    22798107