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1950年Barrett首先描述了一种食管的溃疡病变,它发生在食管内衬的胃型上皮部位,不久明确它为一种柱状上皮,后来将这种食管病变称为Barrett食管.Barrett本人后来对该病虽然也有更为详尽的描述,但至今在病因学、定义、分类、并发症和临床处理等问题上,仍存在着争论.本文试图从该病的良、恶性病例的比较分析中,揭示出二者在可能的病因和预后上的不同,从而提出有关治疗的建议.定义为便于比较,本文严格地规定远端食管内衬的必须是柱状上皮,而且不论是否同时并存食管裂孔疝,其长度必须在胃食管连接部上方至少3cm,
Barrett first described an esophageal ulcer lesion in 1950 that occurred in the esophageal lining of the gastric epithelium and soon became known as a columnar epithelium, which was later referred to as the Barrett’s esophagus, Barrett himself Although the disease is described in more detail, there is still controversy so far on the etiology, definition, classification, complications and clinical treatment, etc. This article attempts to reveal from the comparative analysis of benign and malignant cases of the disease The two in the possible etiology and prognosis of different, so as to make recommendations on treatment.Definition For the convenience of comparison, this article strictly stipulates that the distal esophageal lining must be columnar epithelium, and whether or not concurrent with hiatal hernia, its length Must be above the gastroesophageal junction at least 3cm,