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[巴雷特食管作为癌前病变]

[Barrett esophagus as precancerous lesion].

作者信息

Ferrando J, Reig G

机构信息

Unidad Central de Endoscopia Digestiva, Hospital Clínico Universitario, Valencia.

出版信息

Rev Esp Enferm Dig. 1991 Aug;80(2):83-6.

PMID:1790085
Abstract

The incidence of Barrett's esophagus is still little known. Our objective has been to study the incidence of this lesion in our environment as well as the frequency of malignant degeneration in our endoscopic material. Among 12,450 upper digestive endoscopies done in the past 7 years, 945 instances of peptic esophagitis have been diagnosed (7.59%). Among them, 172 cases of endobrachiesophagus (Barrett's esophagus) were detected (1.38% of the entire endoscopy series and 18.2% of all cases of esophagitis). Twenty two of th 172 patients with Barrett's esophagus were diagnosed as having carcinoma (12.79%). Barrett's esophagus is a frequent complication of peptic esophagitis and as the possibilities of malignant changes are as high as 12.79 it should be considered as a precancerous lesion and monitored as such.

摘要

巴雷特食管的发病率仍然鲜为人知。我们的目标是研究在我们所处环境中这种病变的发病率以及在我们的内镜检查资料中恶性病变的发生率。在过去7年进行的12450例上消化道内镜检查中,已诊断出945例消化性食管炎(7.59%)。其中,检测到172例内镜下食管柱状上皮化生(巴雷特食管)(占整个内镜检查系列的1.38%,占所有食管炎病例的18.2%)。172例巴雷特食管患者中有22例被诊断为患有癌症(12.79%)。巴雷特食管是消化性食管炎的常见并发症,由于恶性变化的可能性高达12.79%,应将其视为癌前病变并进行相应监测。

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