Low-grade dysplasia in Barrett's esophagus: A problematic diagnosis

被引：0

作者：

Sarem, Muhannad ^{[1
,2
]}

Cerezo, Francisco J. Martinez ^{[1
,3
]}

Favieres, Maria Lujan Salvia ^{[4
]}

Corti, Rodolfo ^{[5
,6
]}

机构：

[1] Hosp Univ St Joan Reus, Serv Aparell Digestiu, Tarragona, Spain

[2] Inst Univ Ciencias Salud, Escuela Med, Fdn Hector A, Dept Ciencias Morfol, Buenos Aires, Argentina

[3] Univ Rovira & Virgili, Fundacio Inst Invest Sanit Pere Virgili, Dept Med & Cirurgia, Tarragona, Spain

[4] Hosp Dr Diego Thompson, Dept Cirugia, San Martin, Buenos Aires, Argentina

[5] Hosp Gastroenterol Bonorino Udaondo, Unidad Esofago & Estomago, Buenos Aires, Argentina

[6] Univ Buenos Aires, Escuela Med, Unidad Acad, Buenos Aires, Argentina

来源：

GASTROENTEROLOGIA Y HEPATOLOGIA | 2023年 / 46卷 / 08期

关键词：

Barrett's esophagus; Low-grade dysplasia; Progression risk; MALIGNANT PROGRESSION; INCREASED RISK; ADENOCARCINOMA; MANAGEMENT; DISEASE; EPIDEMIOLOGY; SURVEILLANCE; GUIDELINES; SOCIETY; CANCER;

D O I：

10.1016/j.gastrohep.2022.10.002

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Although low-grade dysplasia (LGD) in Barrett's esophagus (BE) is a histopathological diagnosis based on different histological abnormalities, it is still problematic for different reasons. Patients without confirmed diagnosis of LGD undergo unnecessary and intensified follow-up where the risk of progression is low in the majority of cases. In contrast, the presence of confirmed LGD indicates a high risk of progression. In this article we try to address these reasons focusing on re-confirmation of LGD diagnosis, interobserver agreement, and persistent confirmed LGD. The progression risk of LGD to high-grade dysplasia and esophageal adenocarcinoma will also be reviewed. (c) 2022 Elsevier Espana, S.L.U. All rights reserved.

引用

页码：637 / 644

页数：8

共 50 条

[1] Low-grade dysplasia in Barrett's esophagus
Odze, Robert D.
Goldblum, John R.
[J]. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2006, 4 (11) : 1419 - 1420
[2] Low-grade dysplasia in Barrett's esophagus
Sharma, P
[J]. GASTROENTEROLOGY, 2004, 127 (04) : 1233 - 1238
[3] Endoscopic Diagnosis and Management of Barrett's Esophagus with Low-Grade Dysplasia
Maione, Francesco
Chini, Alessia
Maione, Rosa
Manigrasso, Michele
Marello, Alessandra
Cassese, Gianluca
Gennarelli, Nicola
Milone, Marco
De Palma, Giovanni Domenico
[J]. DIAGNOSTICS, 2022, 12 (05)
[4] Management of low-grade dysplasia in Barrett's esophagus
Wani, Sachin
[J]. CURRENT OPINION IN GASTROENTEROLOGY, 2012, 28 (04) : 370 - 376
[5] Low-grade dysplasia on Barrett's esophagus: visible or not ?
Barret, Maximilien
[J]. ENDOSCOPY INTERNATIONAL OPEN, 2023, 11 (09) : E816 - E817
[6] Low-grade dysplasia in Barrett's esophagus - Reply
Sharma, Prateek
Falk, Gary
Sampliner, Richard
[J]. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2006, 4 (11) : 1420 - 1420
[7] Management of Barrett's esophagus with low-grade dysplasia
Harrison, M.
Allen, J. E.
Gorrepati, V. S.
Lopez-Jamar, J. M. E.
Sharma, P.
[J]. DISEASES OF THE ESOPHAGUS, 2018, 31 (04):
[8] Radiofrequency ablation for low-grade dysplasia in Barrett's esophagus
Lodhia, Nayna
Whitcomb, Emma
Konda, Vani
[J]. CURRENT OPINION IN GASTROENTEROLOGY, 2016, 32 (04) : 294 - 301
[9] Barrett's Esophagus With Low-Grade Dysplasia: Ablate or Wait?
Parasa, Sravanthi
Sharma, Prateek
[J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 2017, 112 (02): : 195 - 196
[10] Esophageal adenocarcinoma in Barrett's esophagus with low-grade dysplasia
Mitlyng, Benjamin L.
Leon, Sam
Ganz, Robert A.
[J]. GASTROINTESTINAL ENDOSCOPY, 2015, 81 (02) : 484 - 484

← 1 2 3 4 5 →