Lim K N, Waring P J, Saidi R
Division of Digestive Disease, Emory University School of Medicine, Atlanta, Ga 30322, USA.
Dig Dis. 1999;17(3):145-52. doi: 10.1159/000016919.
The rising incidence of esophageal adenocarcinoma has focused attention on the only known risk factor: Barrett's esophagus. Practice guidelines for the diagnosis, surveillance and management of Barrett's esophagus were published recently. Although the ultimate goal in the management of this premalignant condition would be the permanent elimination of Barrett's mucosa, current therapeutic options are limited or still in the investigational stages. This review summarizes current medical and surgical treatment options and introduces endoscopic ablative modalities currently under investigation.
巴雷特食管。近期发布了巴雷特食管诊断、监测及管理的实践指南。尽管对这种癌前病变进行管理的最终目标是永久性消除巴雷特黏膜，但目前的治疗选择有限或仍处于研究阶段。本综述总结了当前的内科和外科治疗选择，并介绍了目前正在研究的内镜消融方式。
