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作者于1980～1984年对27例患有返流性食管炎症状的硬皮病人进行了内窥镜检查。其中10例(37%)活检证实为Barrett食管,在他们中2例有食管腺癌。27例病人中16例做了食管造影单盲试验(有2例采用双盲对照试验),由于患者食管极度狭窄,邻近粘膜可见网状型,仅1例诊断为高危的Barrett食管,活检证实有Barrett粘膜。8例病人诊断为中危Barrett食管,其中6例有返流性食管炎和或远端狭窄,2例有息肉样管腔内包块。这6例食管炎和/或狭窄的病人中3例有Barrett食管。这2例有包块的病人,Barrett粘膜内均有腺癌生长。7例无食管炎或狭窄的病人诊断为低危
The authors performed endoscopy on 27 patients with scleroderma with reflux esophagitis from 1980 to 1984. Of these, 10 (37%) biopsies confirmed Barrett’s esophagus and 2 of them had esophageal adenocarcinoma. Sixteen of 27 patients underwent a single-blind esophageal angiography (two in a double-blind controlled trial). Only one patient with a diagnosis of high-risk Barrett’s esophagus was found to have an extremely narrow esophagus and a reticular pattern adjacent to the mucosa. Barrett’s mucosa. Eight patients were diagnosed as moderate-risk Barrett’s esophagus, of which 6 had reflux esophagitis and / or distal stenosis, and 2 had polypoid lumps. Three of the six patients with esophagitis and / or stenosis had a Barrett’s esophagus. In these 2 patients with mass, there was adenocarcinoma in Barrett’s mucosa. Seven patients without esophagitis or stenosis were diagnosed as low risk