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COLUMNAR‐LINED ESOPHAGUS, BARRETT’S ESOPHAGUS AND ADENOCARCINOMA: DIFFERENCES BETWEEN EAST AND WEST
Author(s) -
Takubo Kaiyo,
Arai Tomio,
Sawabe Motoji,
Iwakiri Katsuhiko,
Vieth Michael
Publication year - 2006
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2006.00644.x
Subject(s) - medicine , esophagus , reflux , adenocarcinoma , biopsy , esophagogastric junction , esophageal adenocarcinoma , endoscopy , gastroesophageal junction , barrett's esophagus , gastroenterology , general surgery , disease , pathology , cancer
Some topics related mainly to histopathologic aspects of gastroesophageal reflux disease and columnar‐lined esophagus (CLE) are reviewed and discussed briefly in order to understand CLE and Barrett’s adenocarcinoma (BA). The esophagogastric junction (EGJ) is considered in Japan to be the lower limit at which longitudinal vessels can be seen within the lower segment of the esophagus by endoscopy. This definition has been endorsed by the Japan Esophageal Society. In Western countries, the proximal end of the gastric folds is considered to represent the EGJ. Histologic diagnosis of biopsy specimens from CLE is also discussed in relation to the presence of esophageal glands proper. The differences in the histopathologic criteria for BA between Western countries and Japan are also described.