Department of Gastroenterology and Hepatology, Kansas City VA Medical Center, 4801 Linwood Boulevard, Kansas City, MO, 64128, USA.
Department of Gastroenterology and Hepatology, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mailstop 1023, Kansas City, KS, 66160, USA.
Dig Dis Sci. 2018 Aug;63(8):2115-2121. doi: 10.1007/s10620-018-5067-7.
Barrett's esophagus is the only known pre-cancerous lesion for esophageal adenocarcinoma and is diagnosed by high-definition white light endoscopy demonstrating a columnar-lined esophagus along with biopsy evidence of intestinal metaplasia. With accurate performance and reporting of the endoscopic procedure, an evidence-based management strategy can be developed for treatment of Barrett's dysplasia. However, cross-sectional data demonstrate that there is still inconsistency among gastroenterologists in performance and reporting of endoscopic findings in patients with Barrett's esophagus. Here, we present an evidence-based review of how to report endoscopic findings in Barrett's esophagus.
巴雷特食管是唯一已知的食管腺癌癌前病变，通过高清白光内镜检查诊断，表现为柱状 lined 食管，同时伴有肠上皮化生的活检证据。通过对内镜检查过程进行准确的表现和报告，可以制定出基于证据的管理策略，用于治疗巴雷特食管的异型增生。然而，横断面数据表明，在胃食管反流病患者的内镜检查结果的表现和报告方面，仍存在胃肠病学家之间的不一致。在这里，我们提出了一个基于证据的综述，介绍如何报告巴雷特食管的内镜检查结果。
