巴雷特的食道
Nicholas J Shaheen1, Joel E Richter
1Center for Esophageal Diseases and Swallowing, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, NC, USA.
Lancet (London, England)
|March 10, 2009
概括
巴雷特食道是一种与酸性逆流相关的食道内膜变化,增加了食道腺癌的风险. 早期发现和治疗这种疾病对于预防癌症死亡至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 瘤学 在瘤学方面.
- 病理学 病理学 病理学
背景情况:
- 巴雷特食道涉及食道状上皮质到肠内柱状上皮质的转化.
- 它是慢性胃食道逆流疾病 (GERD) 的已知并发症.
- 这种情况是食道腺癌的重要危险因素,这种癌症的发病率正在上升.
研究的目的:
- 审查巴雷特食道的呈现,流行病学和风险因素.
- 讨论其发展和进展到癌症的分子变化.
- 为了评估内镜检测,治疗发育不良和查癌症预防的有效性.
主要方法:
- 对巴雷特食道呈现,流行病学和风险因素的文献综述.
- 讨论巴雷特食道进展中的分子途径.
- 评估内镜检测,形治疗和查疗效.
主要成果:
- 巴雷特食道是由慢性GERD引起的,并易患食道腺癌.
- 分子变化驱动了从基质形成到癌症的进展.
- 内镜的进步有助于病变的检测和治疗失塑性变化.
结论:
- 对巴雷特食道的查可以避免癌症死亡.
- 未来的研究应该专注于早期瘤治疗和实践修改.
- 不断发展的理解需要调整当前的管理策略.
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