Department of Pathology.
Department of Pathology and Laboratory Medicine, Veterans Affairs Boston Healthcare System and Harvard Medical School, Boston, MA, USA.
J Dig Dis. 2012 Mar;13(3):123-132. doi: 10.1111/j.1751-2980.2011.00567.x.
In order to prevent the development of Barrett's esophagus (BE)-related esophageal cancer in China and facilitate the communication of research results among different centers, we propose using standardized diagnostic criteria and taking a conservative approach to diagnose and manage BE patients. BE patients without dysplasia need to be treated medically. For low-grade dysplasia, an annual endoscopy with biopsies is recommended, along with medical therapy. For high-grade dysplasia and intramucosal carcinoma, an endoscopic or surgical intervention is suggested. All BE patients should be followed up closely.
为了预防中国 Barrett 食管（BE）相关食管癌的发生，并促进不同中心之间的研究结果交流，我们建议使用标准化的诊断标准，并采取保守的方法来诊断和管理 BE 患者。无异型增生的 BE 患者需要进行药物治疗。对于低级别异型增生，建议每年进行内镜检查和活检，并进行药物治疗。对于高级别异型增生和黏膜内癌，建议进行内镜或手术干预。所有 BE 患者均应密切随访。
