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AIM:To test the hypothesis that the shape and length of Barrett’s epithelium are associated with prevalence of erosive esophagitis.METHODS:A total study population comprised 869 patients who underwent endoscopy during a health checkup at our hospital.The presence and extent of Barrett’s epithelium were diagnosed based on the Prague C & M Criteria.We originally classified cases of Barrett’s epithelium into two types based on its shape,namely,flamelike and lotus-like Barrett’s epithelium,and into two groups based on its length,its C extent < 2 cm,and ≥ 2 cm.Correlation of shape and length of Barrett’s epithelium with erosive esophagitis was examined.RESULTS:Barrett’s epithelium was diagnosed in 374 cases(43%).Most of these were diagnosed as shortsegment Barrett’s epithelium.The prevalence of erosive esophagitis was significantly higher in subjects with flame-like than lotus-like Barrett’s epithelium,and in those with a C extent of ≥ 2 cm than < 2 cm.CONCLUSION:Flame-like rather than lotus-like Barrett’s epithelium,and Barrett’s epithelium with a longer segment were more strongly associated with erosive esophagitis.
AIM: To test the hypothesis that the shape and length of Barrett’s epithelium are associated with prevalence of erosive esophagitis. METHODS: A total study population comprised 869 patients who underwent endoscopy during a health checkup at our hospital. The presence and extent of Barrett’s epithelium were diagnosed based on the Prague C & M Criteria. We have classified cases of Barrett’s epithelium into two types based on its shape, namely, flamelike and lotus-like Barrett’s epithelium, and into two groups based on its length, its C extent <2 cm , and ≥ 2 cm. Correlation of shape and length of Barrett’s epithelium with erosive esophagitis was observed .RESULTS: Barrett’s epithelium was diagnosed in 374 cases (43%). Most of these were diagnosed as short segment Barrett’s epithelium. The prevalence of erosive esophagitis was significantly higher in subjects with flame-like than lotus-like Barrett’s epithelium, and in those with a C extent of ≥ 2 cm than <2 cm. CONCLUSION: Flame-like rather than than lotus-like Barrett’s epithelium, and Barrett’s epithelium with a longer segment were more strongly associated with erosive esophagitis.