巴雷特食道和相关的发育不良症
Deepa T Patil1, Robert D Odze2
1Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
Gastroenterology clinics of North America
|January 27, 2024
概括
早期发现巴雷特食道 (Barrett's esophagus,BE) 形是预防癌症的关键. 本综述涵盖了当前的管理策略和新兴的诊断和治疗工具,以改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 巴雷特食道 (BE) 是食道腺癌的前体.
- 在BE中发生的发育不良意味着瘤进展的风险增加.
- 有效的监测和管理对于早期干预至关重要.
研究的目的:
- 为了提供一个当代的概述在BE. dysplasia在BE.
- 讨论难形成症在指导监测和管理中的作用.
- 探索BE的新兴诊断和治疗方法.
主要方法:
- 关于巴雷特食道和发育不良的当前文献的综述.
- 讨论既有和新型的诊断技术.
- 对新兴治疗策略的分析.
主要成果:
- 发育不良症分类对于BE的风险分层至关重要.
- 非侵入性采样和监测技术正在开发中.
- 生物标志物显示出风险评估的潜力,但需要进一步验证.
结论:
- 早期检测和管理BE相关的发育不良症至关重要.
- 新兴技术可能会提高监测和治疗效率.
- 对生物标志物和非侵入性方法的持续研究是有必要的.
相关概念视频
Barrett Esophagus-I: Introduction
98
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
98
Barrett Esophagus-II: Clinical Manifestations and Management
154
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
154
Esophageal Strictures-I: Introduction
102
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
102
Esophageal Strictures-II: Clinical Features and Management
72
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
72
Esophageal Varices-I: Introduction
140
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
140
Gastroesophageal Reflux Disease I: Meaning and Pathophysiology
318
Gastroesophageal Reflux Disease (GERD) involves the recurrent backflow of the stomach or duodenal contents into the esophagus, leading to troublesome symptoms and potential esophageal mucosal damage. Although GERD is often referred to as a disease, it is more accurately described as a syndrome, as it encompasses a range of symptoms and complications rather than a singular pathological entity, impacting a large number of individuals as the most prevalent upper gastrointestinal problem. Roughly...
318


