Gastro-esophageal reflux disease and Barrett's esophagus: an overview with an histologic diagnostic approach.
Barrett’s esophagus
gastro-esophageal reflux disease (GERD)
histology
intestinal metaplasia of the cardia
microscopic esophagitis
Journal
Pathologica
ISSN: 1591-951X
Titre abrégé: Pathologica
Pays: Italy
ID NLM: 0401123
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
29
06
2020
accepted:
29
06
2020
entrez:
12
11
2020
pubmed:
13
11
2020
medline:
25
8
2021
Statut:
ppublish
Résumé
The first part of this overview on non-neoplastic esophagus is focused on gastro-esophageal reflux disease (GERD) and Barrett's esophagus. In the last 20 years much has changed in histological approach to biopsies of patients with gastro-esophageal reflux disease. In particular, elementary histologic lesions have been well defined and modality of evaluation and grade are detailed, their sensitivity and specificity has been evaluated and their use has been validated by several authors. Also if there is not a clinical indication to perform biopsies in patient with GERD, the diagnosis of microscopic esophagitis, when biopsies are provided, can be performed by following simple rules for evaluation which allow pathologists to make the diagnosis with confidence. On the other hand, biopsies are required for the diagnosis of Barrett's esophagus. This diagnosis is the synthesis of endoscopic picture (which has to be provided with the proper description on extent and with adequate biopsies number) and histologic pattern. The current guidelines and expert opinions for the correct management of these diagnosis are detailed.
Identifiants
pubmed: 33179616
doi: 10.32074/1591-951X-162
pmc: PMC7931578
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
117-127Informations de copyright
Copyright © 2020 Società Italiana di Anatomia Patologica e Citopatologia Diagnostica, Divisione Italiana della International Academy of Pathology.
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