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中国 Barrett 食管患者的诊断与管理

How to diagnose and manage patients with Barrett's esophagus in China.

机构信息

Department of Pathology.

Department of Pathology and Laboratory Medicine, Veterans Affairs Boston Healthcare System and Harvard Medical School, Boston, MA, USA.

出版信息

J Dig Dis. 2012 Mar;13(3):123-132. doi: 10.1111/j.1751-2980.2011.00567.x.

Abstract

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.

摘要

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。

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