小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 烧心
- 反流
- 吞咽困难
其他诊断因素
- 胸痛
- 喉炎
- 咳嗽
- 呼吸困难或哮鸣
- 吸入性肺炎病史
危险因素
- 胃酸/胆汁反流或 GORD
- 年龄增长
- 白种人
- 男性
- Barrett食管或食管腺癌的家族史
- 肥胖
- 吸烟
诊断性检查
首要检查
- 上消化道内镜检查结合活组织检查
- 食管 X 线钡剂造影
新兴检查
- 色素内镜
- 自体荧光成像
- 共聚焦激光显微内镜
- 光学相干断层扫描
- 光谱学
- 经鼻内镜
- 胶囊内镜检查
- 明胶涂层海绵
治疗流程
无异型增生性 Barrett 食管
轻度异型增生
高度异型增生
撰稿人
作者
Andres F. Carrion, MD
Assistant Professor of Medicine
Medical Director of Gastrointestinal Endoscopy
Division of Gastroenterology
Texas Tech University Health Sciences Center
El Paso
TX
利益声明
AFC is a scientific advisor for Intercept Pharmaceuticals and Gilead Sciences, and is on the speaker bureau for Bristol-Myers Squibb, Intercept Pharmaceuticals, Merck, and Alexion.
Marc J. Zuckerman, MD
Professor of Medicine
Chief
Division of Gastroenterology
Texas Tech University Health Sciences Center
El Paso
TX
利益声明
MJZ declares that he has no competing interests.
鸣谢
Dr Andres F. Carrion and Dr Marc J. Zuckerman would like to gratefully acknowledge Dr Vic Velanovich, the previous contributor to this monograph.
利益声明
VV is an author of a number of references cited in this monograph.
同行评议者
Richard E. Sampliner, MD
Professor
Medicine Chief
Department of Gastroenterology
University of Arizona College of Medicine
Tucson
AZ
利益声明
RES declares that he has no competing interests.
Peter McCulloch, MBChB, MA, MD, FRCS (Ed), FRCS (Glas)
Clinical Reader in Surgery
Nuffield Department of Surgery
University of Oxford
Oxford
UK
利益声明
PM declares that he has no competing interests.
鉴别诊断
- 食管炎
- 胃食管反流病 (GORD)
- 食管腺癌
更多 鉴别诊断指南
- 胃肠镜操作的知情同意指南
- Barrett 食管相关异型增生和粘膜内癌症患者的内镜根除治疗
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