Management of Barrett's esophagus with low-grade dysplasia

被引：7
作者：
Harrison, M. [1 ,2 ]
Allen, J. E. [1 ,2 ]
Gorrepati, V. S. [3 ]
Lopez-Jamar, J. M. E. [4 ]
Sharma, P. [3 ]
机构：
[1] Univ Kansas, Sch Med, Dept Internal Med, Kansas City, MO USA
[2] Vet Affairs Med Ctr, Kansas City, MO USA
[3] Dept Vet Affairs Med Ctr, Dept Gastroenterol, Kansas City, MO USA
[4] Hosp Clin San Carlos, Unidad Endoscopia, Madrid, Spain
来源：
DISEASES OF THE ESOPHAGUS | 2018年 / 31卷 / 04期
关键词：
Barrett's esophagus; confirmed low-grade dysplasia; endoscopic treatment for low-grade dysplasia; esophageal cancer; persistent low-grade dysplasia; progression; RADIOFREQUENCY ABLATION; NEOPLASTIC PROGRESSION; INCREASED RISK; DISEASE PROGRESSION; MALIGNANT PROGRESSION; ADENOCARCINOMA; DIAGNOSIS; P53; METAANALYSIS; OVEREXPRESSION;
D O I：
10.1093/dote/doy004
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Barrett's esophagus progresses to esophageal adenocarcinoma in a stepwise histological fashion of no dysplasia, low grade dysplasia, high grade dysplasia and cancer. Hence the progression to cancer from various histological stages is different. Progression to cancer from low grade dysplasia is highly variable in the literature due to high inter-observer variability between pathologists in diagnosing it. Studies have shown the utility of having confirmation of low grade dysplasia by expert pathologists or documenting its persistence on two subsequent endoscopies in order to unify the diagnosis. The treatment of low grade dysplasia is variable. In this article we summarize the diagnosis, evaluation and management of low grade dysplasia in Barrett's Esophagus
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页数：5
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