RISK OF ADENOCARCINOMA IN BARRETT'S ESOPHAGUS

被引:0
|
作者
Serha, T., V [1 ]
Kuryk, O. H. [2 ]
Yakovenko, V. O. [3 ]
Tkachenko, R. P. [2 ]
机构
[1] Bogomolets Natl Med Univ, Kiev, Ukraine
[2] SI Res & Pract Ctr Prevent & Clin Med, State Adm Dept, Kiev, Ukraine
[3] Oberih Clin, Med Ctr, Kiev, Ukraine
来源
WORLD OF MEDICINE AND BIOLOGY | 2020年 / 71卷 / 01期
关键词
Barrett's esophagus; metaplasia; dysplasia; esophageal adenocarcinoma; POPULATION; PROGRESSION; MANAGEMENT; MORTALITY; DIAGNOSIS;
D O I
10.26724/2079-8334-2020-1-71-120-124
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
The total of 7396 videoesophagogastroscom cases were analyzed. The presence of metaplastic columnar epithelium of esophagus was found in 2910 patients (39.4"0) at pathohistological examination. The gastric metaplasia was evaluated in 876 cases (11.9%), the specialized intestinal metaplasia without dysplasia - in 1970 (26.6%), the low-grade dysplasia - in 48 (0.65%), the high-grade dysplasia - in 16 (0.22%). Esophageal adenocarcinoma was evaluated in four patients (0.05%, CI 0.01 - 0.12%). Low probability of esophageal adenocarcinoma formation in all types of metaplasia was demonstrated. Only the presence of dysplasia of metaplastic epithelium should cause increased alertness for the occurrence of esophageal adenocarcinoma. Exaggerated value of Barrett's esophagus may result in additional traumatization of mucosa, increase the risk of bleeding and stenosis.
引用
收藏
页码:120 / 124
页数:6
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