低度不成形巴雷特病的内镜特征
Tony He1,2, Kiran Gopinath Iyer1, Mark Lai1
1Gastroenterology, St Vincent's Hospital Melbourne Pty Ltd, Fitzroy, Australia.
Endoscopy international open
|August 11, 2023
概括
巴雷特食道低度发育不良 (BE-LGD) 通常是看不见的,但这项研究发现超过50%是可见的,特别是在专门的中心. 改善社区内镜监测是早期发现BE-LGD的关键.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 在瘤学瘤学.
背景情况:
- 带有低度发育不良 (BE-LGD) 的巴雷特食道通常被认为是内镜看不见的.
- BE-LGD的内镜特征没有得到充分描述,这导致了检测方面的挑战.
研究的目的:
- 为了确定可见BE-LGD的频率.
- 为了比较社区环境和巴雷特推单位 (BRU) 之间的BE-LGD检测率.
- 为了描述BE-LGD的内镜特征.
主要方法:
- 对497名患有失塑性BE的患者进行了回顾性分析,称为BRU (2008-2022).
- 审查内镜报告,图像和组织学,以确定可见的BE-LGD及其特征.
- BE-LGD的定义得到了胃肠道病理学专家的证实.
主要成果:
- 135名患者 (27.2%) 确诊了BE-LGD;只有11.1%的人在社区中可见.
- 在50.4%的病例中,BRU评估发现了可见的LGD.
- 可见的LGD主要包括带有异常粘膜/血管模式的平面病变 (64.7%);随着时间的推移,检测率增加.
结论:
- 超过50%的BE-LGD是内镜可见的,与社区相比,BRUs的检测率更高.
- 随着时间的推移,BE-LGD的内镜识别得到了改进.
- 虽然BRU评估至关重要,但提高社区内镜监测质量对于有效的BE-LGD管理至关重要.
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