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Esophageal epithelial surface in patients with gastroesophageal reflux disease: An electron microscopic study
引用本文:Azumi T,Adachi K,Furuta K,Nakata S,Ohara S,Koshino K,Miki M,Morita T,Tanimura T,Ashizawa N,Kinoshita Y. Esophageal epithelial surface in patients with gastroesophageal reflux disease: An electron microscopic study[J]. World journal of gastroenterology : WJG, 2008, 14(37): 5712-5716. DOI: 10.3748/wjg.14.5712
作者姓名:Azumi T  Adachi K  Furuta K  Nakata S  Ohara S  Koshino K  Miki M  Morita T  Tanimura T  Ashizawa N  Kinoshita Y
基金项目:Grants-in-Aid,from,Science,Research,from,the,Ministry,of,Education,Culture,Sports,Science,and,Technology,of,Japan(项目编号:19590724)
摘    要:A/M: To investigate the intercellular spaces between the most superficially located esophageal epithelial cells in patients with gastroesophageal reflux disease (GERD).
METHODS: Eighteen patients with erosive esophagitis, 10 patients with non-erosive reflux disease (NERD), and 18 normal asymptomatic volunteers were enrolled. Biopsy specimens were obtained from the lower esophageal mucosa without ulcer or erosion. Scanning electron microscopy was employed to investigate the tightness of the superficial cellular attachment.
RESULTS: The intercellular space between the most superficially located epithelial cells in patients with erosive esophagitis or NERD was not different from that in asymptomatic healthy individuals.
CONCLUSION: Widened luminal intercellular spaces of esophageal superficial epithelium are not responsible for the induction of reflux symptoms in patients with GERD.

关 键 词:食道  上皮面  胃食管反流疾病  电子显微镜研究

Esophageal epithelial surface in patients with gastroesophageal reflux disease: an electron microscopic study
Azumi Takane,Adachi Kyoichi,Furuta Kenji,Nakata Shuji,Ohara Shunji,Koshino Kenji,Miki Masaharu,Morita Terumi,Tanimura Takashi,Ashizawa Nobuo,Kinoshita Yoshikazu. Esophageal epithelial surface in patients with gastroesophageal reflux disease: an electron microscopic study[J]. World journal of gastroenterology : WJG, 2008, 14(37): 5712-5716. DOI: 10.3748/wjg.14.5712
Authors:Azumi Takane  Adachi Kyoichi  Furuta Kenji  Nakata Shuji  Ohara Shunji  Koshino Kenji  Miki Masaharu  Morita Terumi  Tanimura Takashi  Ashizawa Nobuo  Kinoshita Yoshikazu
Affiliation:Second Department of Internal Medicine,Shimane University School of Medicine,Shimane 693-8501,Japan
Abstract:AIM: To investigate the intercellular spaces between the most superficially located esophageal epithelial cells in patients with gastroesophageal reflux disease (GERD).METHODS: Eighteen patients with erosive esophagitis,10 patients with non-erosive reflux disease (NERD),and 18 normal asymptomatic volunteers were enrolled.Biopsy specimens were obtained from the lower esophageal mucosa without ulcer or erosion.Scanning electron microscopy was employed to investigate the tightness of the superficial cellular attachment.RESULTS: The intercellular space between the most superficially located epithelial cells in patients with erosive esophagitis or NERD was not different from that in asymptomatic healthy individuals.CONCLUSION: Widened luminal intercellular spaces of esophageal superficial epithelium are not responsible for the induction of reflux symptoms in patients with GERD.
Keywords:Reflux esophagitis  Non-erosive gastroesophageal reflux diseases  Electron microscopy  Questionnaire
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