Barrett食管伴有高度不典型增生的内镜诊断与治疗策略.pdfVIP

第39卷第5期 浙江大学学报(医学版) Vol39No5 0FzHEJIANG 2010生 JOURNAL UNIVERSITY(MEDICAl。SCIENCES)20lO http：www．joumals．zju．edu．en／med Barrett食管伴有高度不典型增生的 内镜诊断和治疗策略 王瑞华综述 (浙江大学邵逸夫临床医学研究所，医学院附属邵逸夫医院消化科，浙江杭州310016) [摘要]Barrett食管、不典型增生到腺癌的演变理论已被广泛接受。高度不典型增生常伴发在 癌的周围或与癌同步发生。利用内镜技术对Barrett食管伴高度不典型增生者进行随访和治疗，将 有助于患者癌变的早期发现及治疗。 [关键词]Barrett食管／治疗；Barrett食管／诊断；癌前状态／诊断；内窥镜检查；随访研究 [中图分类号]R573 [文献标志码]A [文章编号] 7 New for ofBarrettS developmentsendoscopicmanagement esophagus with highgradedysplasia Run WANG RunShawInstituteClinicalMedicine Rui-hua(Sir of of ZhejiangUniversity；Departmentof RunRunShaw Gastroenterology，Sir Hospital，CollegeofMedicine，Zhejiang University，Hangzhou 310016，China) isnow asa of [Abstract]Barrett’Scleady esophagus recognizedpreneoplasiccondition．Progression toadenocareinomais a for metaplasiathroughdysplasia widelyacceptedtheory esophageal high is foundin associationwith carcinogenesis．Thatgradedysplasiafrequently esophageal surveillanceof inBarrett’S adenocarcinoma．Long—term endoscopic highgradedysplasia esophagus facilitatesdetectionandtreatmentof cancersinthe esophageal earlystage． words]Barrett [Key esophagus／ther；Barrettesophagus／diag；Precancerousconditions／diag； studies Endoscop