Barrett食管29例临床分析

目的：分析Ｂａｒｒｅｔｔ食管（ＢＥ）的病因、内镜下特征表现及临床病理特点，探讨ＢＥ和食管腺癌的关系。方法：分析２９便ＢＥ患者的临床表现、内镜诊断及病理特点。结果：所有患者均有反流性食管炎的症状，其中胸骨后或剑突下痛达８０％；在内镜下可分为全周型（１３例）、岛型（１０例）和舌型（６例）。活组织检查显示，本组特殊型柱状我界型上皮１４例、胃底上皮１２例，其中不典型增生５便，尚未发现癌变。结论ＢＥ是反流性

ANALYSIS OF 29 PATIENTS WITH BARRETT ESOPHAGUS

Objective:To study clinic pathologic characteristics of Barrett esophagus(BE) with the relationship between BE and esophagus carcinoma.Methods:The clinical manifestations,endoscopic pattern and pathologic characteristics were reviewed in 29 patients with BE.Results:All patients presented chronic gastroesophageal reflux with heartburn, regurgitation and dysphasia.At endoscopy,BE was present in circumferential in 13 patients,islands in 10 and tongues in six pattern.There were three types of columnar epithelia above the lower esophageal sphincter:atrophic gastric fundic type epithelium in 12 patients,junctional type epithelium(in 14),and distinctive specialized columnar epithelium in three.Conclusion:BE is an acquired condition resulting from chronic gastroesophageal reflux,its diagnosis can be estabalished by using histologic examination through endoscopy,and the follow up study is necessary to detect adenocarcinoma in its earlier stage.