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Recovery after abdominal surgery: the peritoneum may be a key therapeutic target
Author(s) -
Srinivasa Sanket,
Hill Andrew G.
Publication year - 2013
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.12247
Subject(s) - medicine
cular disease, hypertension and hypercholesterolaemia, presented with reflux symptoms. Endoscopy shows a 6 cm area of Barrett’s oesophagus. This is confirmed by expert pathology to be intestinal metaplasia with low grade dysplasia. She is started on high dose of proton pump inhibitor. Following repeat endoscopy, the second set of biopsies confirms the presence of a Barrett’s oesophagus with low grade dysplasia. (3) A 46-year-old man presented with a 15-year history of reflux. He is on 40 mg of pantoprazole twice daily with poor symptom control. He has no significant co-morbidities. Endoscopy shows a 7 cm segment of Barrett’s oesophagus with high grade dysplasia, confirmed on two sets of biopsies and reviewed by an expert pathologist. (4) A 70-year-old woman presented with symptoms of reflux. Her past history is significant for chronic obstructive pulmonary disease limiting her to walking distance to less than 400 m, ischaemic heart disease (on aspirin and clopidogrel) and she is an ex-smoker. At endoscopy, she has 7 cm Barrett’s oesophagus with high grade dysplasia, confirmed by two separate expert pathologists.