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Barrett's esophagus.

机译:巴雷特的食道。

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摘要

PURPOSE OF REVIEW: Barrett's esophagus continues to be a popular topic among clinicians and researchers alike. Population based studies have finally been undertaken to better identify subset populations at high risk of developing Barrett's esophagus, and possible better tolerated alternatives to standard endoscopy for cost-effective screening. In addition, several studies over the past year have marked a transition from identifying those with Barrett's esophagus and in need of intensive surveillance, to an increasing number of novel treatment therapies that are now primed to move from experimental protocols to clinical practice. RECENT FINDINGS: Obesity's role as a risk factor for the development of Barrett's esophagus continues to be better defined. Various disorders affecting the motility of the gastrointestinal tract, such as celiac sprue and scleroderma, and their relationship with Barrett's esophagus development are becoming more widely recognized. The use of endoscopic mucosal resection and photodynamic therapy for treatment of dysplastic Barrett's esophagus continues to gain increased acceptance, with an additional wealth of supportive data for its effectiveness becoming available. SUMMARY: The past year has brought many advances in the epidemiology and endoscopic treatment of those with Barrett's esophagus. Clinicians will benefit from this review of these advances to ensure better patient outcomes.
机译:审查目的:巴雷特食管仍然是临床医生和研究人员中的热门话题。最终进行了基于人群的研究,以更好地识别处于发展Barrett食管高风险的亚人群,并为标准的内窥镜检查提供成本效益更高的筛查方法。此外,过去一年中的几项研究标志着从识别患有巴雷特食管且需要加强监护的患者过渡到越来越多的新颖治疗疗法,这些疗法现在正准备从实验方案转向临床实践。最近的发现:肥胖作为巴雷特食管发展的危险因素的作用仍然得到了更好的界定。影响肠胃蠕动的各种疾病,例如腹腔灌肠剂和硬皮病,以及它们与巴雷特食管发育的关系,已得到越来越广泛的认识。内窥镜黏膜切除术和光动力疗法在增生性Barrett食管治疗中的应用继续得到越来越多的接受,并为其有效性提供了更多支持数据。摘要:过去的一年在巴雷特食管患者的流行病学和内窥镜治疗方面取得了许多进展。临床医师将从这些进展的回顾中受益,以确保更好的患者预后。

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