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[内镜下短食管(巴雷特综合征)——一种尚不为人熟知的疾病模式(作者译)]

[Endobrachyesophagus (Barrett's syndrome)--a not sufficiently familiar disease pattern (author's transl)].

作者信息

Zissu J, Filippini L

出版信息

Rontgenblatter. 1978 Mar;31(3):145-9.

PMID:644193
Abstract

The clinical picture of endobrachyesophagus (Barrett's Syndrome) which is little known among radiologists, is described, taking the authors' own observations into account. As soon as the complications leading to clinically manifest complaints occur, consisting of high or centrally positioned peptic stenosis and/or ulceration, diagnosis can be established by means of the usually characteristic findings when a barium sulfate contrast medium is made to pass through the esophagus. Endoscopic-bioptic exploration of the esophagus is mandatory to verify the diagnosis, and, in particular, to exclude any malignant process, the more so since malignant degeneration of cylindrical cell metaplasia, on which endobrachesophagus is based, must be reckoned with in up to 10% of the cases.

摘要

本文结合作者自身观察结果,描述了放射科医生了解较少的短食管(巴雷特综合征)的临床表现。一旦出现导致临床明显症状的并发症,包括高位或位于中央的消化性狭窄和/或溃疡,当硫酸钡造影剂通过食管时,通常可凭借特征性表现做出诊断。为明确诊断,必须对食管进行内镜活检探查,尤其要排除任何恶性病变,因为短食管所基于的柱状上皮化生有高达10%的病例可能发生恶性变。

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