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巴雷特食管消融后埋藏性肿瘤。

Post-ablation buried neoplasia in Barrett's esophagus.

机构信息

Department of Gastroenterology, Digestive Disease & Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.

Department of Pathology, Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA.

出版信息

Scand J Gastroenterol. 2021 May;56(5):624-628. doi: 10.1080/00365521.2021.1896774. Epub 2021 Mar 25.

DOI:10.1080/00365521.2021.1896774
PMID:33764825
Abstract

Endoscopic eradication therapy (EET) with maximal acid suppression is the cornerstone for the management of patients with Barrett's esophagus (BE) associated dysplasia. The occurrence of buried dysplastic glands after re-epithelialization of a neo-squamous epithelium is of concern for endoscopists. Here, we present a patient with BE and high-grade dysplasia successfully treated by EET who developed buried dysplastic BE during surveillance. A review of literature on buried dysplasia after successful endoscopic therapy of BE is also discussed.

摘要

内镜下根除治疗(EET)联合最大胃酸抑制是 Barrett 食管(BE)相关异型增生患者管理的基石。新形成的鳞状上皮再上皮化后隐匿性异型腺体的出现一直是内镜医生关注的问题。本文报道了一例 BE 伴高级别异型增生患者经 EET 成功治疗后,在随访中发现隐匿性异型 BE。本文还对 BE 内镜治疗成功后隐匿性异型增生的文献进行了复习。

相似文献

1
Post-ablation buried neoplasia in Barrett's esophagus.巴雷特食管消融后埋藏性肿瘤。
Scand J Gastroenterol. 2021 May;56(5):624-628. doi: 10.1080/00365521.2021.1896774. Epub 2021 Mar 25.
2
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Advanced pathology under squamous epithelium on initial EMR specimens in patients with Barrett's esophagus and high-grade dysplasia or intramucosal carcinoma: implications for surveillance and endotherapy management.巴雷特食管合并高级别异型增生或黏膜内癌患者初次内镜黏膜切除术标本中鳞状上皮下的高级病理学表现:对监测和内镜治疗管理的意义
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Subsquamous intestinal metaplasia after ablation of Barrett's esophagus: frequency and importance.巴雷特食管消融术后的黏膜下型肠上皮化生:频率和重要性。
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Esophageal neoplasia arising from subsquamous buried glands after an apparently successful photodynamic therapy or radiofrequency ablation for Barrett's associated neoplasia.在对巴雷特相关肿瘤进行表面上成功的光动力疗法或射频消融术后,由鳞状上皮下埋藏腺体引发的食管肿瘤。
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引用本文的文献

1
DEVELOPMENT OF ADENOCARCINOMA AFTER RADIOFREQUENCY ABLATION OF BARRETT'S ESOPHAGUS ASSOCIATED TO FUNDOPLICATION AND SUPPRESSION-DUODENAL DIVERSION PROCEDURE: A LESSON TO BE LEARNED.射频消融联合胃底折叠术和抑制性十二指肠分流术治疗后发生的 Barrett 食管腺癌:值得吸取的教训。
Arq Bras Cir Dig. 2023 Dec 18;36:e1786. doi: 10.1590/0102-672020230068e1786. eCollection 2023.