柱状上皮化生食管。历史、术语及临床问题。
The columnar-lined esophagus. History, terminology, and clinical issues.
作者信息
Spechler S J
机构信息
Department of Veterans Affairs Medical Center, University of Texas Southwestern Medical Center at Dallas, USA.
出版信息
Gastroenterol Clin North Am. 1997 Sep;26(3):455-66. doi: 10.1016/s0889-8553(05)70306-x.
Recently, there has been intense controversy regarding diagnostic criteria for Barrett's esophagus. Some authorities have defined the condition according to an arbitrary extent of esophageal columnar lining, whereas others have felt that the presence of specialized intestinal metaplasia anywhere in the esophagus establishes the diagnosis. This article discusses the problems that arise when either of these diagnostic approaches are used and proposes an alternative classification system for the columnar-lined esophagus.
最近，关于巴雷特食管的诊断标准引发了激烈的争论。一些权威机构根据食管柱状上皮衬里的任意范围来定义这种情况，而另一些人则认为食管内任何部位出现特殊的肠化生即可确诊。本文讨论了使用这两种诊断方法中任何一种时出现的问题，并提出了一种针对柱状上皮食管的替代分类系统。
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