Review article: towards consistency in the endoscopic diagnosis of Barrett's oesophagus and columnar metaplasia
Review article: towards consistency in the endoscopic diagnosis of Barrett's oesophagus and columnar metaplasia
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评论文章：巴雷特食管和柱状化生内镜诊断的一致性
DOI：
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发表时间：
2004
影响因子：
7.6
通讯作者：
D. Armstrong
中科院分区：
文献类型：
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作者：
D. Armstrong
巴雷特食管与严重的反流病有关，是食管腺癌的危险因素。然而，在临床实践中如何评估Barrett食管的存在和程度缺乏共识。巴瑞特食管的诊断目前是基于在内窥镜检查中对异常食管粘膜的识别。然而，诊断不能仅在此基础上作出，真正的诊断需要在内窥镜检查中识别可疑柱状化生的区域，然后进行组织学确认。
Barrett's oesophagus is associated with severe reflux disease and is a risk factor for oesophageal adenocarcinoma. However, there is a lack of consensus on how to assess the presence and extent of Barrett's oesophagus in clinical practice. A diagnosis of Barrett's oesophagus is currently based on the recognition of an abnormal oesophageal mucosa at endoscopy. However, a diagnosis cannot be made solely on this basis, and a true diagnosis requires the identification of an area suspicious for columnar metaplasia at endoscopy, followed by histological confirmation.