How Good Is the Neosquamous Epithelium?
Author(s) -
Roy C. Orlando
Publication year - 2014
Publication title -
digestive diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.879
H-Index - 66
eISSN - 1421-9875
pISSN - 0257-2753
DOI - 10.1159/000357185
Subject(s) - tight junction , barrier function , downregulation and upregulation , epithelium , claudin , paracellular transport , medicine , pathology , microbiology and biotechnology , permeability (electromagnetism) , chemistry , biology , biochemistry , membrane , gene
Endoscopic radiofrequency ablation of dysplastic Barrett's esophagus (BE) combined with proton pump inhibitor therapy is commonly utilized for preventing progression of dysplastic BE to esophageal adenocarcinoma. Fundamental to the success of this and all ablative approaches is the healing of the ablated areas of BE with a stratified squamous epithelium referred to as 'neosquamous epithelium' (NSE). Although NSE appears 'normal' endoscopically, the reemergence of BE over time in the previously ablated segments raises the question of the health and integrity of NSE.
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