Urosevic P, Kiroff G K
The University of Melbourne, Department of Clinical and Biomedical Sciences, The Geelong Hospital, Victoria, Australia.
Dis Esophagus. 2002;15(1):30-8. doi: 10.1046/j.1442-2050.2002.00220.x.
The incidence of adenocarcinoma of the esophagus has increased dramatically over recent years. Because Barrett's epithelium is recognized as a risk factor for adenocarcinoma there is an interest in reversing this metaplasia. A number of endoscopic methods of destruction of esophageal columnar epithelium have been described. The purpose of this article is to review the currently available methods of managing Barrett's epithelium with particular reference to the role of ablative therapy in reducing the risk of adenocarcinoma.
近年来,食管腺癌的发病率急剧上升。由于巴雷特上皮被认为是腺癌的一个危险因素,因此人们对逆转这种化生现象很感兴趣。已经描述了多种内镜下破坏食管柱状上皮的方法。本文的目的是回顾目前可用的处理巴雷特上皮的方法,特别提及消融治疗在降低腺癌风险中的作用。