Abstract
We report a 58-year-old man with recurrent ulceration in a Barrett's oesophagus whose iron-deficiency anaemia was in fact due to a caecal carcinoma. Recent reports suggest an association between these two disorders. A Barrett's oesophagus should not be blamed for iron deficiency unless neoplasms of the colon have been excluded.
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References
1.
Barrett
NR
. Chronic peptic ulcer of the eoesophagus and ‘oesophagitis’ . Br J Sur
1950 ; 38 : 175 –82 .
2.
Spechler
SJ
Goyal
RK
. Barrett's oesophagus . New Engl J Med
1986 ; 315 : 362 –71 .
3.
Sontag
SJ
Schnell
TG
Chejfec
G.
Barrett's oesophagus and colonic tumours . Lancet
1985 ; i : 946 –9 .
4.
Robertson
DAF
Ayres
RCS
Smith
CL
. Screening for colonic cancer in patients with Barrett's oesophagus . Br Med J
1989 ; 298 : 650 .
5.
Lyons
MF
Tsuchida
AM
Schlepp
GE
. Is colonic neoplasia associated wit Barrett's oesophagus?
Am J Gastroenterol
1990 ; 85 : 1221 .
6.
Naef
AP
Savary
M
Ozzello
L.
Columnar-lined lower esophagus: An acquired lesion with malignant predisposition . J Thorac Cardiovasc Surg
1975 ; 70 : 826 –35 .
7.
Borne
J
Goldwater
L.
Columnar cell-lined oesophagus: Assessment of etiology and treatment . J Thorac Cardiovasc Surg
1976 ; 71 : 825 –34 .
8.
Dees
J
van Blankenstein
M
Frenkel
M.
Adenocarcinoma in Barrett's oesophagus: A report of 13 cases . Gastroenterology
1978 ; 74 : 1119 .
9.
Cooper
BT
Barbezat
GO
. Barrett's oesophagus: A clinical study of 52 patients . Q J Med
1987 ; 62 : 97 –108 .
10.
Schnell
T
Sontag
S
Wanner
J.
Endoscopic screening for Barrett's oesophagus (BE) oesophageal adenocarcinoma (AdCa) and other mucosal changes in ambulatory patients with symptomatic gastro-oesophageal reflux . Gastroenterology
1985 ; 88 : 1576 .
11.
Winters
C
Spurting
TJ
Chobanian
SJ
. Barrett's oesophagus. A prevalent, occult complication of gastroesophageal reflux disease . Gastroenterology
1987 ; 92 : 118 –24 .
12.
Cameron
AJ
Zinsmeister
AR
Ballard
DJ
Carney
JA
. Prevalence of columnar-lined (Barrett's oesophagus. Comparison of population-based clinical and autopsy findings . Gastroenterology
1990 ; 99 : 918 –22 .
13.
Williams
AR
Balasoorriya
BAW
Day
DW
. Polyps and cancer of the large bowel: A necropsy study in Liverpool . Gut
1982 ; 23 : 835 –42 .
14.
Tripp
MR
Sampliner
RE
Kogan
FJ
Morgan
TR
. Colorectal neoplasia and Barrett's oesophagus . Am J Gastroenterol
1986 ; 81 : 1063 –4 .
15.
Ramage
JK
Hall
J
Williams
JG
. Barrett's oesophagus . Lancet
1987 ; ii : 851 .
16.
Cook
IJ
Pavli
P
Riley
JW
Goulston
KJ
Dent
OF
. Gastrointestinal investigation of iron deficiency anaemia . Br Med J
1986 ; 292 : 1380 –2 .